It is the policy of Indian Hills Community College not to discriminate on the basis of race, color, national origin, sex, disability, age (employment), sexual orientation, gender identity, creed, religion, and actual or potential parental, family, or marital status in its programs, activities,
or employment practices as required by the Iowa Code §§216.6 and 216.9, Titles VI and VII of the Civil Rights Act of 1964 (42 U.S.C. §§ 2000d and 2000e), the Equal Pay Act of 1973 (29 U.S.C. § 206, et seq.), Title IX (Educational Amendments, 20 U.S.C §§ 1681 – 1688), Section 504
(Rehabilitation Act of 1973, 29 U.S.C. § 794), and Title II of the Americans with Disabilities Act (42 U.S.C. § 12101, et seq.).
If you have questions or complaints related to compliance with this policy, please contact Director, Human Resources/Equity Coordinator (sta), 525 Grandview Ave, Ottumwa, IA 52501, (641) 683-5282, hrequity@indianhills.edu; Dean, Student Development (students), (641) 683-
5159, studentsequity@indianhills.edu; Dean, Centerville Campus & Learning Services (students with disabilities), (641) 683-5174, learningservicesequity@indianhills.edu; U.S. Department of Education, Citigroup Center, 500 W. Madison, Suite 1475, Chicago, IL 60661, phone number
(312) 730-1560, fax (312) 730- 1576.
TO BE COMPLETED BY STUDENT:
E-mail: Student ID:
Legal Name: SSN:
Address:
Street City State Zip County
Home Phone: ( ) - Birth Date: / / Gender: Male Female
Ethnic: HIS – Hispanic/Latino NHS – Non Hispanic/Latino
Race: AN – American/Alaska Native AS – Asian BL – Black or African American
HP – Hawaiian/Pacific Islander WH – White
High School: Graduation: /
Month Year
Grade in August 2020: Freshman Sophomore Junior Senior
This form is to be completed prior to the academic term of enrollment and submitted to the
High School Programs oce two weeks prior to the beginning of the program (June 1, 2020).
Please check the program of study you are enrolling in:
SUMMER COLLEGE CREDIT PROGRAM
Student Signature: Date: / /
Parent/Guardian Signature: Date: / /
For questions regarding this form, please contact Leslie Orman (leslie.orman@indianhills.edu) at (641) 683-5125.
SUMMER COLLEGE CREDIT PROGRAM
JUNE 15-AUGUST 6, 2020
Business Specialist
CSC 110 Introduction to Computers VCL MTWTH 8:00 A.M. - 9:35 A.M.
SDV 101 How to Be Successful in College VCL MTWTH 9:40 A.M. - 10:55 A.M.
ACC 111 Intro to Accounting VCL MTWTH 11:30 A.M. - 12:55 P.M.
Construction Technology
CON 450 Construction Lab 1A Small Groups MTWTH 7:00 A.M. - 9:50 A.M.
MAT 762 Technical Math for Industry VCL MTWTH 10:00 A.M. - 10:45 A.M.
CSC 105 Computer Essentials VCL MTWTH 11:00 A.M. - 11:30 P.M.
Health Sciences
HSC 226 Health Society & Aging VCL MT 8:00 A.M. - 10:00 A.M.
HSC 113 Medical Terminology VCL WTH 8:00 A.M. - 10:00 A.M.
HSC 201 Healthcare Exploration VCL WTH 10:15 A.M. - 12:15 P.M.
Welding
WEL 228 Welding Safety & Health VCL MTWTH 12:15 P.M. - 12:45 P.M.
WEL 233 Print Reading & Welding Symbol VCL MTWTH 12:50 P.M. - 2:20 P.M.
WEL 244 Gas Metal Arc Welding Small Groups MTWTH 2:25 P.M. - 2:55 P.M.
Gas Metal Arc Welding Lab Small Groups MTWTH 3:00 P.M. - 4:00 P.M.
If VCL is listed, the class will be held completely through Zoom at designated days/times.
If Small Group is listed, the class will be held in small groups for hands-on instruction.
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