Fillable Running Start Application (Renton Technical College)

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Running Start Application (Renton Technical College)

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  • 41 check-boxes
  • 234 other fields

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Running Start Application
We’re excited you’re interested in Running Start! If you have any questions about Running Start or the
application process contact:
• Chelsea Good, Running Start Counselor: cgood@rtc.edu or 425-235-2352 Ext. 5714
TO APPLY: Complete the following steps and submit the completed application packet to cgood@rtc.edu
Step
Action
#1
Apply to Renton Technical College online , https://www.rtc.edu/get-
started
$30 Application Fee will be added to student’s account (may be waived
if eligible for fee waiver)
#2
Attach a copy of placement into English OR math to this application
(placement option info on page 2)
#3
Connect with your high school counselor via email:
• Complete attached Enrollment Verification Form. Must be
signed by high school counselor, guardian/parent and you!
• Attach a copy of your high school transcript to this application
#4
Complete Running Start agreement & Top Portion of Registration
Form, Agreement must be signed by you and parent/guardian!
#5
Fill in your information on the bottom half of this form
#6
OPTIONAL: Fee Waiver Application Attach a copy of documentation
showing eligibility for one of the fee waiver options.
#7
OPTIONAL: Complete attached release of information form
#8
Submit completed application packet to cgood@rtc.edu to set up an
advising appointment
*Students needing 504 or IEP accommodations should contact the Disability Resource Services office at drs@rtc.edu
or 425-235-2352 ext. 5540. The Disability Resource Services office is located in the J Building, Room 218.
STUDENT TO COMPLETE THE FOLLOWING:
NAME:
RENTON TECHNICAL COLLEGE STUDENT ID NUMBER:
PHONE:
ALTERNATIVE PHONE #:
EMAIL:
PARENT EMAIL:
HIGH SCHOOL:
HIGH SCHOOL GRADUTAION YEAR:
ELIGIBLE FOR FEE WAIVER (YES/NO):
DID YOUR PARENT/GUARDIAN GRADUATE FROM COLLEGE?
(YES/NO):
No
No
Description
Placement Score or Grade
Online survey taken through Renton
Technical College website.
COMP 100 OR English& 101
Standardized test taken remotely
through Renton Technical College
Testing Center
Math placement test only required for
college-level math, chemistry or
professional technical program
entrance requirement.
Standardized test taken at the high
school in 10
th
grade.
ELA - English Language Assessment:
Level 3 or higher
Math Assessment:
Level 3 or higher AND grade of B or
better in Algebra 2 in High School
Student was awarded credit at a
college or university for college-level
English or math.
Provide copy of unofficial transcript to
determine English and/or math
placement.
A student who has taken AP/IB exams
in specific subjects.
Provide a copy of AP/IB exam scores.
Scores must be evaluated by Running Start
office.
Running Start College–Level Placement Options
Renton Technical College Testing Center Information & Testing Calendar - https://www.rtc.edu/testing-services
Location: J Building, Room 218, 425-235-2352 x. 5704, TestingCenter@rtc.edu
*Students needing accommodations for Renton Technical College placement testing should contact the Disability Services
office prior to testing. Disability Resource Services: drs@rtc.edu or 425-235-2352 ext. 5540
• Placement measures from other colleges may be accepted. Please provide a copy of placement tool
from other college for evaluation by Running Start advisor.
• SAT and ACT scores may be used for course placement. Please provide a copy of scores for
placement.
Updated: 1/19
RUNNING START AGREEMENT
I , (print), a student in the Running Start program at Renton Technical College (RTC),
and I, , a parent/guardian of a student in RTC’S Running Start program, understand
the following:
College processes:
• All Renton Technical College courses will become part of the student's permanent college record.
• Students must inform the RTC Running Start office if they are simultaneously enrolled in more than one college.
• Students must submit a new enrollment verification form every quarter.
• A student may participate in Running Start for a maximum of six quarters – three quarters during their junior year and three
quarters during their senior year.
Confidentiality of information:
• Only students have access to their own college grades and records. Parents/Guardians may obtain a student’s record only if
the student signed a release form.
• College instructors will not notify parents or high schools when a student is failing or not attending a class and cannot
inform parents of a student’s academic progress.
• High school officials will not be able to inform students or parents of enrollment or progress in college courses, nor issue
diplomas, until college transcripts are received by the high school.
• I understand that my transcript will be released to my high school at the end of each quarter.
Course Selection and Participation
• Classes needed to satisfy high school graduation requirements should be taken before electives and prior to a student’s
final quarter.
• Students are responsible for meeting high school graduation requirements and for determining how high school and RTC
courses meet two-year and four-year college requirements and requirements of specific programs. Students should meet
with both their high school counselor and Running Start advisor for academic advising.
• Students are responsible for arranging their college class schedule so it does not conflict with their high school schedule.
• Students are responsible to manage both the high school and college calendars. A Running Start student is expected to
attend classes at the college campus even if the high school is on a scheduled break (i.e. spring break, mid-winter break).
• If a student wishes to drop a class, the student is responsible for officially withdrawing by the eighth week of the quarter.
Permission from the Running Start advisor is required both to add and drop classes. If a student drops a class after the
second week and before the eighth week of the quarter, a “W” grade will be issued and no credit earned on both college
and high school transcript.
• My parent/guardian and I understand that I am expected to participate fully in all course activities, including labs and field
trips, and give permission to do so. I understand that a college course may give exposure to alternative viewpoints and may
include material of an adult nature. Additionally, social interaction with individuals of all ages and backgrounds may occur.
• Students needing reasonable accommodations provided by an IEP or 504 plan must contact the Disability Resource Services
office at Renton Technical College on a quarterly basis. Disability Resource Services may be reached by email: drs@rtc.edu
or by phone: 425-235-2352 ext. 5540.
Cost
• Students are responsible for all non-tuition costs at RTC, including textbooks and required course materials, course fees,
testing fees, transportation, mandatory fees, tuition for credits in excess of 15 and for below-college level classes (i.e.
MATH 095). Students also are responsible for paying for credits beyond a combined 1.2 FTE course load of high school and
college courses.
Student Signature Date
Parent/Guardian Signature Date
Updated 1/29/19
click to sign
signature
click to edit
click to sign
signature
click to edit
3000 NE Fourth Street
Renton, WA 98056
425-235-2352
www.rtc.edu
Registration/Change of Schedule Form
(5003)
(7001)
(4002)
(3001)
(5001)
(2004)
(4015)
(2001)
FERPA
CB-Ck.
HS Dip
Ver. By
Student ID number
Summer
Winter
Fall Spring Year:
Have you previously attended RTC?
Yes No Year:
Gender:
Male Female
Birth date: Age:
Last Name
First Name
MI
Previous Last Name
Address Number and street, Route or Box, or P.O. Box
Apt. No.
City
State
Zip Code
Email Address
@
Day Phone
Night Phone
Emergency Contact Name
Relationship
Phone
How will your course work relate to your current or future work?
Gain skills for a new job or career (11)
Gain skills for my current job or career (12)
Improve skills for a career change (13)
Does not apply (14)
Other (90)
What is your main long term goal for attending Renton Technical College?
Take courses related to current or future work (11)
Transfer (12)
High school diploma or GED (13)
Explore career direction (14)
Personal Enrichment (15)
Other (90)
Professional Technical Program
EPC
COMPASS Scores
Writing Reading
Pre-
Algebra
Algebra
College
Algebra
Trig.
Add a class:
Item #
Course ID
Entry Code
Item #
Course ID
Entry Code
Start End Dates
Counselor Signature
Instructor/Dean/VP Signature
Drop a class:
Item #
Course ID
Drop Date
Counselor Signature
Reason for Drop
Doing Poorly
Family Needs
Financial
Medical
Military
Work Conflict
Enrollment Services Use Only:
Comments & Date
Student Signature: (Parents may sign for students under 18 years of age) Today’s Date
I hereby under penalty of perjury under the laws of the state of Washington RCW 91.72.085 that to the best of my knowledge, all statements on this form are true and correct. I have been given the opportunity to read a
statement of the college’s policies on fees, attendance, conduct, parking and dress.
Please complete the other side of this form
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
** Social Security Number _________ / ________ / _________
I authorize the college to use my Social Security Number to obtain
Your Social Security Number is confidential and under a federal law called the Family Educational Right & Privacy Act,
employment and wage information held by the Employment Security
the college will protect if from unauthorized use and/or disclosure. In compliance with state/federal requirements,
Department for the purposes of state and federal educational reporting,
disclosure may be authorized for the purposes of state and federal financial aid, Hope/Lifetime Learning tax credits,
evaluation and research. Yes No
academic transcripts, assessment or accountability research.
How long do you plan to attend Renton
What is your work status while
What is your prior education level upon
What is your current family status?
Technical College?
attending?
entry to Renton Technical College?
One quarter (11)
Two quarters (12)
One year (13)
Up to two years, no degree (14)
Long enough to complete a degree(15)
Don’t know (16)
Full-time homemaker (11)
Full-time employee (including self-
employment and military) (12)
Part-time off-campus (13)
Part-time on-campus (14)
Not employed, but seeking
Did not graduate high school (11)
GED (12)
High school graduate (13)
Some college, no degree/certificate (14)
Certificate – less than 2 years (15)
Associate degree (16)
Single parent with children or other dependents in your care (11)
Couple with children or other dependents in your care (12)
Without children or other dependents in your care (13)
Other (90)
No response (99)
Other (90)
No response (99)
employment (15)
Not employed, not seeking
employment (16)
Other (90)
No response (99)
Bachelor’s degree or above (17)
Other (90)
No response (99)
First Generation College Student
Has either of your parents/guardians received a bachelor’s degree?
Yes No Unknown
Veterans/Active Duty Military
Have you ever served in the US armed forces?
Yes No
Do you have a disability? Yes No (Answering is optional; this information will be used for statistical reporting only).
Deaf/Hard of Hearing (1)
Mobility (2)
Speech/Language (3)
Learning (4)
Blind/Visual (5)
Chronic/Acute Health (6) If you have a disability and would like to request an accommodation, please contact the
Neurological/Central Nervous System (7) Special Needs Counselor at extension 5705 or by TTY at 425-235-5811.
Psychological/Emotional (8)
The College appreciates your response to the following
What is your sexual orientation?
What is your gender identity?
Are you a U.S. citizen?
questions. Answering these questions is optional and all Bisexual (72) Feminine (22)
Yes
No
information will be maintained with the strictest
confidentiality.
Gay (99)
Lesbian (21)
Masculine (77)
Androgynous (52) If not a U.S. citizen, what is your immigration status?
Queer (28)
Straight/heterosexual (23)
Gender neutral (35)
Transgender (27)
Student:
F1
M1
Immigrant/Permanent Resident
Other (01)
Prefer not to answer (57)
Other (01)
Prefer not to answer (57)
Temporary Resident
Refugee
Visitor
Other _____________________
Is English your primary language? Yes No How fluent are you in English? 1. Not at all 2. Somewhat 3. Very
Please check this box if you have been in Washington State foster care for at least one year since your 16
th
birthday
Renton Technical College does not discriminate on the basis of race, color, national origin, sex,
disability, sexual orientation or age in its programs and activities. The following person has been
designated to handle inquiries regarding the non-discrimination policies: Director, Human
Resources Development, 3000 NE 4th Street, Renton, WA 98056, (425) 235-2352
**To comply with federal laws, we are required to ask for your Social Security Number (SSN) or Individual
Taxpayer Identification Number (ITIN). We will use your SSN/ITIN to report Hope Scholarship/Life Time Tax
Credit, to administer state/federal financial aid, to verify enrollment degree and academic records, and to
conduct institutional research. If you do not submit your SSN/ITIN you will not be denied access to the college;
however, you may be subject to civil penalties (refer to Internal revenue Service Treasury Regulation1.6050S-1
(e) (4) for more information). Pursuant to state law (RCW 28B.10.042) and federal Law (Family Education
Rights and Privacy Act), the college will protect your SSN.ITIN from unauthorized use and/or disclosure.
Rev. 03/14
Student
Student Name:
Last Name First Name
Home Phone: Cell Phone:
Email Address: SSID#:
Responsible Parent/Guardian:
College: College
SID #:
Running Start Enrollment Verification Form
Check if this is a revision
MI
New Student
Returning Student
Student Enrolled in Multiple Colleges
Spring Quarter Eligibility Adjustment
Form (SQEAF) attached.
Free and Reduced-Price Lunch (FRPL) Status
(required to be completed for 2020-21 school year)
Running Start Funding Limit Table
Students who are currently FRPL eligible (or anytime in the past five school years) may receive tuition and
fee waivers from a college.
Is the student currently eligible for FRPL? Yes No HS Counselor Initials:
Enrolled High School
Available
College
The parent or guardian signature below provides permission to share FRPL eligibility status only with the
Running Start college for the purpose of ensuring access to tuition and/or fee waivers. Choosing not to
sign the consent will not affect the student’s eligibility for access to Running Start or free and reduced-
price meals or free milk. The individuals and programs receiving the information will not share the
information with any other entity or program.
Weekly
Minutes *
0 - 341
FTE
0.00 - 0.20
Max
Allowed
FTE
1.00
Max
Credits
15
College Course (Dept. & Number)
# of College Credits
=
High School Equivalency
# of HS Credits
=
=
=
High School Counselor & Running Start Advisor/Rep
Student & Parent/Guardian
342 - 457 0.21 - 0.27 0.93 14
Parent/Guardian Signature: Date:
458 - 557 0.28 - 0.33 0.87 13
School Yr: College Term: College Quarter College Semester
558 - 674 0.34 - 0.40 0.80 12
High School:
Fall, Winter, Spring Qtr. / 1st or 2nd sem.
675 - 790 0.41 - 0.47 0.73 11
791 - 890 0.48 - 0.53 0.67 10
District:
Grade Level:
Jr Sr 5th Yr Sr
○
891 -1,007 0.54 - 0.60 0.60
10 ⊗
For the college term
Δ
above, the student will be enrolled in high school and skill center
1,008 - 1,123 0.61 - 0.67 0.53 8
classes equaling full-time equivalent (FTE). Student may register for a maximum
1,124 - 1,223 0.68 - 0.73 0.47 7
of college credits, without incurring college tuition costs, based on the above stated
1,224 - 1,340 0.74 - 0.80 0.40 6
high school/skill center FTE.
1,341 - 1,456 0.81 - 0.87 0.33 5
Comments:
1,457 - 1,556 0.88 - 0.93 0.27 4
1,557 or more 0.94 - 1.00 0.20 3
Recommended Running Start Classes:
Signature of High School Counselor Date Signature of College Running Start Advisor/Rep Date
High School Counselor Printed Name Phone Number College Running Start Advisor/Rep Printed Name Phone Number
I understand that:
• The student is responsible for understanding when his or her choice of schedule will result in tuition charges. If the student enrolls for more high school and
college credits than are identified in the Running Start State Funding Limit Table, the student is responsible for:
1) paying all college tuition and fees associated with exceeding the college credits identified in the table; or
2) withdrawing from the excess college or high school course(s).
• The student is required to pay any class/lab fees charged for college classes.
• Enrollment in specific college classes cannot be guaranteed – even if the classes are needed to fulfill high school graduation requirements.
• To add/withdraw from a course, the student must complete the college Add/Drop process by the college deadline and notify the high school counselor.
• The student is responsible for ensuring that college courses completed as part of the Running Start program will meet high school graduation requirements.
• If the student plans to transfer, it is the student’s responsibilitiy to determine college admissions policies/deadlines and whether credits will transfer.
• The student and parent’s signatures below provide permission for the high school and college to share the Running Start student’s academic records, which
can include the student’s grades, billing, registration, and attendance records regardless of whether FERPA rights belong to the student or parents.
• After completing the college coursework, students are responsible for requesting offical college transcripts through the college’s registrar office.
I acknowledge that I have read and understand both sides of this form, and will comply with the conditions of Running Start participation and the expectations
of college course enrollment.
Student Signature (REQUIRED) Date Parent/Guardian Signature (REQUIRED) Date
FORM SPI 1674 (4/2020) This is a two page form, with the details and instructions printed on page 2. Questions: Students & Parents contact local high school; High school & college staff, call OSPI at 360-725-6300.
Key
* Weekly Minutes based on high school bell schedule.
⊗ For community and technical colleges only, students qualifying for 0.60 FTE
college enrollment and registered for exactly 10 credits, will be granted a 1
credit waiver for the 10th credit. For four-year baccalaureate colleges, students
who qualify for 0.60 FTE may only register for 9 credits.
• A student enrolled in both high school and skill center classes and claimed for
more than a combined 1.0 FTE qualifies for 0.20 Running Start FTE. When a
student is enrolled in both the high school and skill center and taking less than
1.0 FTE, the standard Running Start calculation applies.
Δ For the fall college quarter and students enrolled in a high school with a
trimester schedule, use the student’s first trimester schedule. For the winter
college quarter and students enrolled in a high school with a semester schedule,
use the student’s second semester schedule.
○
Available for meeting district, charter school, or tribal compact school’s
graduation requirements only (WAC 392-169-055(4)).
PURPOSE: The RSEVF ensures that a student’s monthly enrollment does not exceed
the allowable combined 1.20 full-time equivalent (FTE) limitation. This form
provides the college the FTE available for Running Start enrollment, provides the
high school with the enrolled colleges classes, and notifies the student and their
parents/guardians if tuition charges will occur.
The RSEVF is required to be completed each college term for each student enrolling
in college classes through the Running Start program, including home-based and
private school students. Students attending more than one college for any college
term are required to have a separate RSEVF for each college. When a student will
be attending multiple colleges, the appropriate box in the upper right hand corner
of the RSEVF must be checked.
If the student’s high school or college enrollment changes during the college term, a
revised RSEVF must be completed and the appropriate box in the upper right hand
corner of the RSEVF must be checked.
FTE AND ANNUAL AVERAGE FTE (AAFTE) LIMITATIONS: Running Start students may
not be claimed for a combined high school and college enrollment that exceeds 1.20
FTE for any month except in limited cases for December and January. Neither the
high school nor college enrollment can individually exceed 1.00 FTE, except for
students enrolled in a high school and skill center.
When a student is enrolled in both a high school and a skill center and claimed for
more than a combined 1.0 FTE, the available Running Start enrollment is limited to a
0.20 FTE. When a student’s combined high school and skill center enrollment is less
than 1.0 FTE, the standard Running Start calculation applies.
This 1.20 FTE limitation applies to the annual average FTE (AAFTE), where a Running
Start student may not be claimed for a combined high school and college
enrollment that exceeds 1.20 AAFTE for the school year. High school and skill center
AAFTE is the 10-month average of the FTE reported for the months September
through June. Running Start AAFTE is the 9-month average of the FTE reported for
the months October through June.
Students that exceed the 1.20 FTE or AAFTE may be charged tuition by the college
for the credits in excess of this limitation.
EXCEPTIONS WHEN STUDENT’S MONTHLY FTE CAN EXCEED 1.20: For high schools
on a trimester calendar, when the high school second trimester and the college fall
quarter overlaps in December, a Running Start student can be claimed for more
than a 1.20 FTE for the month of December only. When planning for the fall college
quarter, counselors should use the first trimester to determine the available FTE for
fall quarter.
For high schools on a semester calendar, when the high school first semester and
the college winter quarter overlaps in January, a Running Start student can be
claimed for more than a 1.20 FTE for the month of January only. When planning for
the winter college quarter, counselors should use the second semester to
determine the available FTE for winter quarter.
When a student who is claimed for more than a 1.20 FTE in either the month of
December or January for the reasons above, the student may be subject to a
reduced FTE or to paying tuition for the spring college quarter, if the 1.20 AAFTE
would be exceeded. Completion of the Spring Quarter Eligibility Adjustment Form
(SQEAF) will identify students at risk of exceeding the 1.20 AAFTE and will calculate
the reduced available FTE for the spring quarter. For students whose spring quarter
available FTE is reduced, a completed SQEAF must be attached to the spring quarter
RSEVF and the appropriate box in the upper right hand corner of the RSEVF must be
checked. Students attending more than one college for the spring quarter must
have the SQEAF attached to each college’s RSEVF.
For more information refer to the annual bulletin regarding the 1.20 Running Start
FTE limitation.
FERPA STATEMENT: The Family Educational Rights and Privacy Act of 1974 provides
that FERPA rights transfer from the parent to a student who is at least 18 and/or
who has enrolled in a college, even while still enrolled in high school. Students 18
and older and/or who have enrolled at a college must give permission in writing to
the college in which they have enrolled in Running Start classes for another
individual to speak to the college staff about their Running Start academic records,
which could include grades, billing, attendance, and registration records.
INSTRUCTIONS FOR COMPLETING THE RSEVF
STUDENT SECTION: The RSEVF begins with the student completing the first section
of the form. Students who are under the age of 18 at the beginning of the college
term, must provide their parent/guardian information. The student’s high school
student identification number (SSID) is available at the high school guidance office.
If the student does not know their college student identification number (SID), refer
to earlier completed RSEVFs. If the student is new to the program, the college SID is
available on the processed college application.
HIGH SCHOOL COUNSELOR & RUNNING START ADVISOR/REP SECTION:
The high school counselor and Running Start advisor or representative complete this
section.
Free and Reduced-Price Lunch (FRPL) Status: The high school counselor would
check the appropriate box indicating if the student is currently eligible for FRPL or
had been FRPL eligible any time in the past five school years. The counselor will
initial – certifying the accuracy of this statement and the parent/guardian will
provide their signature and date when the answer is “Yes.” This data is now
required as part of RCW 28A.600.310. If districts choose not to use this form, they
will need to develop another tool to share this information with their partner
colleges.
School Year: Indicate the school year during which courses will be taken.
College Term: Select the college term that the student will be enrolling in. For
colleges on a quarter calendar, indicate which quarter – Fall, Winter, or Spring. For
colleges on a semester calendar, indicate which semester – 1st or 2nd.
High School and School District: Fill in the student’s primary high school and
resident school district. If the student is enrolled in a charter school or tribal
compact school, leave “School District” field blank.
Grade Level: Indicate the student’s grade level. Students in 11th and 12th grade are
eligible to enroll in a Running Start program. Fifth year seniors are limited to only
taking Running Start classes that will fulfill the student’s district, charter school, or
tribal compact school’s graduation requirements only, pursuant to WAC 392-169-
055(4) and must have participated in Running Start during their 11th or 12th grade
year.
Determining the Student’s High School FTE: FTE in high school and skill center
classes is calculated based on a class’s weekly enrolled minutes and eligible passing
time. One thousand, six hundred and sixty five (1,665) weekly minutes equal 1.0
FTE. Refer to the high school and skill center master bell schedule available at the
registrar or business administration office for the exact weekly minutes and the FTE
for each class. Add the FTE for each enrolled class to determine the student’s total
high school and skill center FTE.
Determining the Student’s Available Running Start FTE: Running Start FTE is based
on the enrolled college credits. Fifteen college credits equal 1.0 FTE. Use the
Running Start Funding Limit Table on the front page to determine a student’s
available Running Start FTE. Find the row with the student’s high school and skill
center FTE. Refer to the Max FTE column to determine a student’s maximum
Running Start FTE. The Max Credits column converts the maximum Running Start
FTE to Running Start credits.
Recommended Running Start Classes: The student, with the help of the high school
counselor and Running Start advisor or representative, should fill out the requested
college courses. The high school equivalency portion of the table can be completed
by the student if an official high school list of equivalencies is available. Otherwise,
this section is completed by the high school counselor.
Signatures of High School Counselor and Running Start Advisor or Representative:
Both the high school counselor and Running Start advisor/representative should
review the form for accuracy, enter their printed name, date, phone number, and
signature.
STUDENT & PARENT/GUARDIAN SECTION: The student and parents should review
the completed form for accuracy and understanding, then sign and date the
acknowledgement at the bottom of the form. Students 18 and older are not
required to provide a parent signature.
DISTRIBUTION OF RSEVF AND RECORDS RETENTION: Copies of the completed form
should be retained by both the high school and college. The original form is kept by
the student and their parent or guardian.
FORM SPI 1674 by Office of Superintendent of Public Instruction is
licensed under a Creative Commons Attribution-No Derivatives 4.0
International License.
Deadline: 10
th
day of the quarter
Submit in-person: Running Start – I Building, Student Success Center
Email: cgood@rtc.edu
(425) 235-2352 x. 5714 ǀ rtc.edu/running-start
Running Start Fee Waiver Application
The Running Start Fee Waiver program is available for eligible Running Start students for the purpose of waiving applicable fees.
Students must meet one of the criteria below to be eligible. Please check the box which applies to you, provide appropriate
documentation, and submit your completed application to Running Start. Eligibility is valid for the duration of the student’s
enrollment in Running Start at Renton Technical College but is not retroactive for previous quarters.
□ I am eligible for the free and reduced-price meals program in my school district, or have been eligible within the last 5 years.
Attach a copy of your school district verification letter of free and reduced-price meal eligibility.
□ I am currently receiving state or federal public assistance. Attach documentation verifying your eligibility for public assistance
such as: Apple Health, TANF, Basic Food, etc. (your name must appear on the documentation provided).
□ I am a foster youth or qualify for McKinney-Vento services. Attach a signed statement on official letterhead from your
caseworker, foster care liaison, or counselor verifying your status.
□ My family/household income is equal to or less than 200 percent of the annual U.S. federal poverty guidelines. Attach a copy of
pages 1 and 2 of your parent’(s)/guardian’(s) 2018 tax return (your name must appear on the documentation provided).
2019 Poverty Guidelines (https://aspe.hhs.gov/poverty-guidelines)
Family/Household Size
Gross Income
1
$24,980
2
$33,820
3
$42,660
4
$51,500
For each additional person add
$8,840
Student Responsibility Agreement
I acknowledge that:
• The fee waiver only covers course fees, application fee, building fees, transportation & safety fees, and tuition for
college-level classes beyond credits allowed per my Running Start Enrollment Verification Form.
• I am responsible for costs associated with textbooks, course materials and supplies, transportation, as well as tuition
and fees, textbooks, and supplies for below 100-level classes.
Student Name Renton Technical College SID Number
Student Signature Date
For Office Use Only: Received by: Date:
Processed/SMS updated by: Date:
Revised 12/2019
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_____________________________________________________________________
________________________________________
_________________________________________
_________________________________________
_______________________________
_______________________________
CONSENT TO RELEASE CONFIDENTIAL INFORMATION - Optional
Renton Technical College follows federal guidelines concerning access to student records and student privacy rights.
Federal law is designed to protect the privacy of education records, the Family Educational Rights and Privacy Act
(FERPA). It also provides guidelines for appropriately using and releasing student education records. As a post-secondary
institution, Renton Technical College views all students as emancipated adults and regardless of age does not disclose
personal information without a completed Permission to Release Education Record form.
This form grants the Running Start office at Renton Technical College the ability to release information
regarding your grades, schedule, academic progress, transcript, and financial account with those listed below.
We will only be able to release information to people you list.
To: Running Start Office
Renton Technical College
RE: ________________________________ ________________________________
Student Name (Please print clearly) RTC Student ID Number
High School
I hereby give permission for the Running Start Office at Renton Technical College to release
information regarding my grades, schedule, account, and academic progress to the following people:
Name
Name
Student Signature Date
Relationship
Relationship
Updated: 2/6/19
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Running Start Application (Renton Technical College)

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Completed 9 October 2021

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