Fill - Free fillable SECONDARY SCHOOL PERMISSION FORM (College of the Rockies) PDF form

SECONDARY SCHOOL PERMISSION FORM

Personal Information

Last Name

First Name

Student Number (if known)

Secondary School and SD#

Date of Birth

(mm/dd/yyyy)

P.E.N. Number

Mailing Address

City, Province

Postal Code

Telephone

E-mail

Current Grade

Applicant

I wish to receive □ Secondary School Credit or □ Dual Credit for my course.

______________________________ has my permission to access my student records, attendance, achievement and

(Secondary School)

Any information for, or pertaining to, my enrolment at College of the Rockies for the following period:

From:

I certify that the information contained in this application is complete and correct. I authorize the use of my name in various

public relations publications, presentations, and announcements to promote the College of the Rockies.

Applicant’s Signature

Date

Secondary School Permission

has permission to register in the following post-secondary course(s)

Student Name

□ to earn secondary school credit as part of his/her transition Education Plan in the career pathway of

_______________________________________

□ to earn post-secondary dual credit**

X X

Secondary School Principal / Counsellor Date College of the Rockies Advisor

*secondary school credit – If the secondary school is not offering the course(s), and the district requests that the student

enrol in order to meet graduation requirements, the student will not be charged course fees by College of the Rockies.

College of the Rockies will assign a letter and percentage grade and submit to the secondary school.

**dual credit – College of the Rockies will assign a letter and percentage grade and submit to the secondary school. The

course will count as a secondary school course, and also as a post-secondary course. College course fees will be

charged to the student. If the high school is paying for the course, the student must provide proof of sponsorship by the

fee deadlines or at time of registration. All course text books and supplies are provided by the student. By taking this

course, the student's participation and marks will become part of his/her permanent post-secondary record.

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