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CMC Concurrent Enrollment Registration Form
This form is for Spring 2024 CMC registration.
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* Indicates required question
Email
*
Your email
Student First Name
*
Your answer
Student Last Name
*
Your answer
What High School are you at?
Basalt High School
Roaring Fork High School
Bridges High School
Aspen High School
Norwood School District
Vision Charter Schools (Paonia, Cedaredge, Delta)
Home Schooled
Other:
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Have you completed a CEPA application at
https://start.coloradomtn.edu
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Yes
No
Student date of birth
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MM
/
DD
/
YYYY
CMC ID # (If you know it)
Your answer
Student Address (house #, street, city)
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Your answer
Student Phone Number
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Your answer
Parent/Guardian First Name
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Your answer
Parent/Guardian Last Name
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Your answer
Parent/Guardian Phone Number
Your answer
Parent/Guardian Email
Your answer
Student/Parent Concurrent Enrollment Agreement Item 1: I am required to meet the same course requirements as college students; students subject to the CMC Student Code of Conduct,
https://coloradomtn.edu/wp-content/uploads/filebase/CMC_Student_Handbook.pdf
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I understand the above statement.
I do not understand or agree with the above statement.
Student/Parent Concurrent Enrollment Agreement Item 2: Course credits transfer with a grade of C or better.
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I understand the above statement.
I do not understand or agree with the above statement.
Student/Parent Concurrent Enrollment Agreement Item 3: Courses and grades received appear on high school and official college transcripts.
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I understand the above statement.
I do not understand or agree with the above statement.
I am a student on an IEP or 504 and need to speak to an Access Coordinator for CMC to continue receiving my services for success.
*
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Yes, please have an Access Coordinator contact me
No, I do not need any accommodations
Student/Parent Concurrent Enrollment Agreement Item 6: I am responsible for payment for books & additional course fees at time of registration if the school district does not cover the costs.
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I understand the above statement.
I do not understand or agree with the above statement.
Have you contacted your high school counselor to receive high school credit for this course? Yes
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Yes
No
Classes - Please check with your high school counselor on any CMC online or campus courses you would like to take Spring 2024. You must include the complete course code & course title. See example below:
Your answer
A copy of your responses will be emailed to the address you provided.
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