iCAN- New Student - Fall 2024 COC Dual Enrollment Student Contact Questionnaire
Please complete the below questionnaire to receive the required COC Dual Enrollment Special Admission Form by email.
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Student Last Name - As submitted on the Fall 2024 COC Application *
Student First Name - As submitted on the Fall 2024 COC Application *
High School Student ID number. Note: If you do not have a Hart District Student ID number, please enter 00000000. *
Grade Level for Fall 2024 *
Hart District Student Email - The COC Dual Enrollment Special Admission Form will be emailed to this address. Note: If you do not have a Hart District student email address, please enter a personal email address (gmail, yahoo, icloud) that you regularly monitor. Do NOT use your Castaic Middle School email address.  *
Confirm Hart District Student Email (email listed above) *
Parent/Guardian Email - The COC Dual Enrollment Special Admission Form will be emailed to this address for parent approval. *
Confirm Parent/Guardian Email *
Preferred Student Phone Number *
Do you have an IEP/504? If yes, we will follow up with information on how to receive services from COC's Academic Accommodations Center (AAC). Please note: K-12 IEP/504 plans cannot be transferred to college courses. Students will need to meet with AAC to see what accommodation(s) they may be eligible for.  *
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