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 2023-24 school year (which includes Summer Semester, 2023).

Please consult with Tom Woodford, tom_woodford@hboe.org for more information and to choose the option(s) that best suits your College Credit Plus endeavors.

This intent form is due by April 1st

Email *

First Name *

Last Name *

Grade *

Student ID Number *

Student Email *

School *

Hilliard Bradley High School

Hilliard Darby High School

Hilliard Davidson High School

Parent/Guardian Name *

Parent/Guardian Email *

Student Phone number *

I intend to take advantage of College Credit Plus during the 2022-2023 school year (please pick the appropriate option). *

College Jump Start - CSCC/Hilliard @ The Innovation Campus

Take courses on campus at CSCC or OSU

Take Kenyon College (Kenyon Academic Partnership: KAP) courses at Hilliard

Other:

Information meeting and counseling session topics covered:

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

For the 2023-2024 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 certify that I am aware of my responsibilities, the benefits and possible risks of participating in the College Credit Plus Program including 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): *

A copy of your responses will be emailed to the address you provided.

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