CCP MEETING ATTENDANCE FALL 2023 (or for 2024-2025 SCHOOL YEAR)

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Please fill out this form stating that you attended the annual CCP meeting by attending the in - person meeting held on October 25th OR by watching the entire Cloverleaf High School CCP presentation video. By filling out this form you are attesting that you have
received the counseling regarding CCP and that you understand the responsibilities that are assumed in the
program.

Email *

Parent Name (Last, First) *

Student Name (Last, First) *

Student current grade during 2022-2023 School Year *

Current School (CHS, CMS, or list current middle or high school attending) *

I, the parent/guardian, certify that I attended the entire Presentation on 10/25 OR watched the entire CCP virtual presentation. *

Yes

I, the student, certify that I attended the entire Presentation on 10/25 OR watched the entire CCP virtual presentation. *

Yes

I understand the student must apply to the college or university in which they would like to take a college credit plus course. *

Yes

I understand that if the student fails the course or drops past the deadline, that the student and family may be financially responsible for the course. *

Yes

I know that because college credit plus classes are college classes (even ones taught by Cloverleaf teachers) that the student must fill out a FERPA waiver in order for parents to communicate with teachers or professors. *

Yes

After applying to the college or university as a CCP student, the student must complete a "Mature Content" permission slip from the college or university and must submit a state required survey from the college. *

Yes

If you attended or are are watching this as a student not enrolled in Cloverleaf Local Schools, please list your school so we can let your school counselor know you attended.

Digital Signature (please type name of PARENT/GUARDIAN) *

Digital Signature (please type name of STUDENT)
*

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