Fillable Peralta Community College District High School Dual Enrollment (College of Alameda)

Fill Online, Printable, Fillable, Blank Peralta Community College District High School Dual Enrollment (College of Alameda) Form

Use Fill to complete blank online COLLEGE OF ALAMEDA pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Peralta Community College District High School Dual Enrollment (College of Alameda)

On average this form takes 4 minutes to complete

The Peralta Community College District High School Dual Enrollment (College of Alameda) form is 2 pages long and contains:

  • 0 signatures
  • 0 check-boxes
  • 15 other fields

Country of origin: US
File type: PDF

U.S.A. forms for College of Alameda

BROWSE COLLEGE OF ALAMEDA FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Peralta Community College District
High School
Dual Enrollment Form
Peralta Community College District’s (PCCD) High School Dual Enrollment Program is designed to offer
high school students career technical education or preparation for transfer to college, to improve high school
graduation rates, or to help high school students achieve college and career readiness.
High school students enrolling in a college level course must meet course requirements. The student must
follow all the regulations and policies of the college, including adhering to any prerequisite requirements.
Dual Enrollment high school students are exempted from paying the California Community College
enrollment fees and all other fees. High school students enrolled in more than 15.0 units per semester are
required to pay enrollment and all other mandatory fees
(See the current PCCD class schedule for current
fees.)
Access to the High School CCAP Dual Enrollment Program is NOT allowed for:
1. Recreation or hobbies.
2. Any class that is offered at the high school.
By signing the High School CCAP Dual Enrollment Form, the student’s parent/guardian is indicating
agreement with, and giving consent for, their student’s participation in any of the courses offered at the
student’s high school, another high school, or at any of the four Peralta Community College District
colleges (Berkeley City College, College of Alameda, Laney College and Merritt College.) This applies to the
years the student is enrolled in the Oakland Unified School District high school.
CCAP Dual Enrollment college classes are Peralta College (PCCD) classes. The grade received will
appear on the student’s official Peralta (PCCD) college transcript and the student’s high school
transcript, and will count toward financial aid eligibility should the student decide to attend a PCCD
college or another institution of higher education.
Steps to Enroll in the High School Dual Enrollment Program:
1. Go online to Peralta.edu and click “Apply and Enroll” to complete an Admission application.
2. Consult your high school counselor to find out what Dual Enrollment course(s) are being offered and
choose the course you would like to take. You must adhere to any prerequisite requirements.
3. Get your parent's approval to enroll in a college class and have them sign this form (this is only done once.)
4. Complete the rest of the section “High School Student’s Information.”
5. If the college pre/co-requisite course has not been completed, participate in multiple measures assessments.
6. Review your rights with respect to your education records and disclosures of information at
http://web.peralta.edu/admissions/official-transcript-request/verificationsrelease-of-information/ferpa-2/ .
7. If you would like your parent to be able to conduct business for you or request information on your behalf
complete the Authorization for Release of Student Records form.
8. Submit your Dual Enrollment Form to an approved high school official who is managing college courses on
your high school campus.
Units earned will be granted as college credit. It is the high schools district’s prerogative to grant high school credit for
courses taken in the Peralta Colleges. The Office of Admissions and Records will send a transcript to Oakland Unified
School District every semester.
04/3/2020
Page 1 of 2
Peralta Community College District
High School
Dual Enrollment Form
Please write in blue or black ink and write legibly
PERALTA ID # (8 digits): ________________________
H.S. Grade Level:__________________________
High School Student’s Information (All sections required)
Student’s Name:
Last Name
First Name
M.I.
Date of Birth:
Street
City, State
Zip
Phone #:
Email Address:
H.S. Student’s Signature:
Date:
I hereby certify that I am the parent/guardian of the above-named student and I am in agreement with, and
give my consent for, their participation in any Peralta Community College class during the years my student
is enrolled in this high school.
I HAVE READ AND UNDERSTAND THE STEPS FOR DUAL ENROLLMENT. I HEREBY AUTHORIZE THE
OAKLAND UNIFIED SCHOOL DISTRICT TO RELEASE MY STUDENT’S EDUCATIONAL RECORDS TO
PERALTA COMMUNITY COLLEGE DISTRICT. I HEREBY AUTHORIZE PERALTA COMMUNITY COLLEGE
DISTRICT TO RELEASE MY STUDENT’S EDUCATIONAL RECORD TO THE OAKLAND UNIFIED SCHOOL
DISTRICT.
Parent or Guardian’s Signature:________________________________________________________
Date:
_____________________
High School Authorization
Permission is granted for the above-named
student to enroll in courses at:
All Peralta Colleges
High School Currently Attending:
HS Counselor (or Designee) Name:
HS Counselor (or Designee) Signature:
Date:
*Per Education Code Section 48800, for summer sessions, K-12 principals may not recommend more than five percent of the number of pupils who
have completed a particular grade immediately prior to the time of the recommendation.
04/3/2020
Page 2 of 2
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Peralta Community College District High School Dual Enrollment (College of Alameda)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 13 December 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document