Upper Arlington High School College Credit Plus Intent to Participate

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By completing this form, you are declaring your intent to participate in College Credit Plus during the 2024-25 school year (which includes Summer Semester, 2024).

This intent form is due by April 1, 2024

Email *

First Name *

Last Name *

Graduation Year *

Student ID Number *

Student Email *

Student Cell Number *

Parent/Guardian Name *

Parent/Guardian Email *

I intend to take advantage of College Credit Plus during the 2024-2025 school year. I will be taking courses: *

at UAHS

at CSCC Campus

at OSU

Online

Required

Information Meeting Covered the Following Topics

1. Program eligibility
2. Potential benefits, risks and consequences
3. The process for granting academic credit
4. Financial arrangements for tuition, books and fees
5. Scheduling at the middle school and high school
6. The effects of program participation on the student's graduation requirements
7. The effects of participation on the student's grade point average and athletic eligibility

For the 2024-2025 school year, select the payment option for the student's course(s) *

OPTION A: The student/family will be financially responsible for all tuition and the cost of all textbooks, materials and fees associated with the College Credit Plus Course. *NOTE - the student must inform the secondary school whether the student wants to receive college credit only or high school and college credit.

OPTION B: The state of Ohio is financially responsible for the eligible course(s) in which the student chooses to enroll. *NOTE: If Option B is selected, the funding for the course will be deducted from the secondary school and redirected to the college. The student will receive both high school and college credit.

COMBINATION OF OPTIONS A & B: Student/family chooses to be responsible for all tuition, textbooks, materials, and fees for one or more courses. If this option is chosen, the student must inform the college which course(s) will be under Option A and which will be under Option B.

I have read the CCP Information Guide and I certify that I am aware of my responsibilities, the benefits and possible risks of participating in the College Credit Plus Program. This includes the expectation to pay the cost of the course if I do not pass the course or withdraw within the time frame given by the college/university. *

Yes

Student Signature (please type full name as your digital signature): *

Parent/Guardian Signature (please type full name as your digital signature): *

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