2024-2025 College Credit Plus Intent to Participate & Counseling Form
Please complete all sections of this questionnaire to confirm your intent to participate in the CCP program during the 2024-2025 school year official.  This form must be completed by 11:59p on April 1st, 2024 to participate in the CCP program at any time during the 2024-2025 school year. If submitted after the deadline, you must receive permission from the school principal or superintendent.
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Email *
Student's First Name *
Student's Last Name *
Student's Personal Email *
Student's Grade Level 2024-2025 *
Student's Cell Phone Number *
Parent or Guardian First Name (primary contact for the intent of this form) *
Parent or Guardian Last Name (primary contact for the intent of this form) *
Parent or Guardian Cell Phone Number (primary contact for the intent of this form) *
Parent or Guardian Email (primary contact for the intent of this form) *
Parent or Guardian Home Address *
College Credit Plus (CCP) Parent Intent Agreement: I would like to declare my child's intent to participate in the College Credit Plus program.  I understand that signing this form electronically does not require that I participate during the 2024-2025 school year and I may decide not to participate without consequence.  I also understand that it is my responsibility to notify my school (CLHS) if I do not gain admission to my selected institution of higher education or choose not to participate for some other reason.  In addition, I certify that I have received counseling about the CCP program concerning the rules and regulations for both my school and the college, and that I understand my responsibilities, the benefits, and possible risks of participating in the College Credit Plus program.  *
Required
College Credit Plus (CCP) Student Intent Agreement: I would like to declare my intent to participate in the College Credit Plus program.  I understand that signing this form electronically does not require that I participate during the 2024-2025 school year and I may decide not to participate without consequence.  I also understand that it is my responsibility to notify my school (CLHS) if I do not gain admission to my selected institution of higher education or choose not to participate for some other reason.  In addition, I certify that I have received counseling about the CCP program concerning the rules and regulations for both my school and the college, and that I understand my responsibilities, the benefits, and possible risks of participating in the College Credit Plus program.  *
Required

The counseling session must occur before the student participates in the College Credit Plus program. Each public and participating nonpublic secondary school shall provide counseling services to students in grades six through eleven and to their parents before the students participate in the College Credit Plus program to ensure that students and parents are fully aware of the possible consequences and benefits of participation.

Counseling information shall include:

·       Program eligibility;

·       The process for granting academic credits;

·       Any necessary financial arrangements for tuition, textbooks, and fees;

·       Criteria for any transportation aid;

·       Available support services;

·       Scheduling;

·       Communicating the possible consequences and benefits of participation, including all of the following:

o   The consequences of failing or not completing a course under the program, including the effect on the student's ability to complete the secondary school's graduation requirements;

o   The effect of the grade attained in a course under the program being included in the student's grade point average, as applicable;

o   The benefits to the student for successfully completing a course under the program, including the ability to reduce the overall costs of, and the amount of time required for, a college education.

·       The academic and social responsibilities of students and parents under the program;

·       Information about and encouragement to use the counseling services of the college in which the student intends to enroll;

·       The standard packet of information for the program developed by the Chancellor of the Ohio Department of Higher Education. (See the highered.ohio.gov/ccp for more information.)

·       Information about the potential for mature subject matter, as defined in section 3365.035 of the Revised Code, in courses in which the student intends to enroll through the program and notification that courses will not be modified based upon program enrollee participation regardless of where course instruction occurs. The information shall include the permission slip described in division (B) of section 3365.035 of the Revised Code (attached).

·       Secondary schools must also provide information of the administrative rules of Course Eligibility (OAC 3333-1-65.12) and Underperforming Students (OAC 3333-1-65.13).

·       Information about Options A and B to include the following details:

Public Schools

o   Option A: The student/family will be financially responsible for tuition and the cost of all textbooks, materials, and fees associated with the College Credit Plus course.

§  Under Option A, the student/ family must work directly with the college to arrange to make payment

§  Option A allows the student to choose to earn both college credit and high school credit OR only college credit

§  Option A must be elected at the time the student registers for college courses

§  Students must inform the college and the secondary school of electing Option A and whether student wants to earn both high school and college credits or only college credits

o   Option B: The state of Ohio is financially responsible for the eligible course(s) in which the student chooses to enroll.

§  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 high school and college credit.

o   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.

o   Students must inform the college of the choice of Option A or B when registering for courses. Students must inform the secondary school of whether the student wants to receive both high school and college credits or only high school credits.

o   The final date to change the election of Option A or Option B is on or before the college’s no-fault withdrawal date

The student and the student’s parent shall sign a form, provided by the school, stating that they have received the counseling required and that they understand the responsibilities they must assume in the program.  


 *
Required
For the 2024-2025 school year, select the payment option for the student's course(s): *
College Credit Plus Parent Book and Materials Return Agreement:  If my child decides to participate in the College Credit Plus program and requires a book or books and/or additional materials for the course(s) that are non-consumable, I understand that my child is responsible for notifying them that they are a CCP student through Cardington Lincoln High School/Cardington Lincoln Middle School.  I also understand that my child should not receive any money for the sell-back of book(s) and/or materials purchased through the CCP program.  If the bookstore will not buy back the book(s) and/or materials, I will notify CLHS/CLMS as the book(s) and/or materials are the property of CLHS/CLMS.    *
Required
College Credit Plus Student Book and Materials Return Agreement:  If I decide to participate in the College Credit Plus program and requires a book or books and/or additional materials for the course(s) that are non-consumable, I understand that I am responsible for notifying them that I am a CCP student through Cardington Lincoln High School/Cardington Lincoln Middle School.  I also understand that I should not receive any money for the sell-back of book(s) and/or materials purchased through the CCP program.  If the bookstore will not buy back the book(s) and/or materials, I will notify CLHS/CLMS as the book(s) and/or materials are the property of CLHS/CLMS.    *
Required
A copy of your responses will be emailed to the address you provided.
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