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College Credit Plus Intent Form

Please complete all of the required fields below and submit. Upon submission, a copy of the form will be sent to the email addresses you list below and Mrs. Westbrook, School Counselor. The deadline to submit this form is April 1st.

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Please select your school.

Please enter the student's first name.

Please enter the student's last name.

Please select the student's grade level.

Please enter the parent/guardian name.

Please enter the student's address.

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Please enter a valid email address.

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Please enter a valid email address.

I would like to declare my intent to participate in the College Credit Plus program. I understand that signing this form does not require that I participate during the upcoming school year, and I may decide not to participate without consequence.

I also understand that it is my responsibility to notify my school if I do not gain admission to my selected institution of higher education or choose not to participate in the program.

In addition, I certify that I have received counseling about the College Credit Plus 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.

Please sign and return this form to the secondary school by April 1.

Please sign.

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