High School/college Credit

GROSSMONT-CUYAMACA COMMUNITY COLLEGE DISTRICT
High School/College Credit Enrollment Authorization Form
Cuyamaca College

Grossmont College

For GCCCD Official Use Only

NOTE: A new form must be completed and submitted each semester prior to class enrollment. Also, if you choose to attend both Cuyamaca and Grossmont, a separate HS/CC Enrollment
Authorization Form MUST be submitted to each college. Please read carefully and sign below.

Received Date:
Received By:

THIS SECTION MUST BE COMPLETED BY THE STUDENT.
Request attendance for: Year:

Semester (mark one):

Fall

Spring

Summer

PRINT NAME:

Last

First

Middle

-

Student I.D. Number

Student
Address:
Number & Street

City

Zip Code

High School Currently Attending:

/

/

Date of Birth

I will only enroll in courses (maximum two per semester) recommended by my high school representative. I understand that these courses are subject to all fees, terms, and conditions associated with college enrollment. I also understand that courses taken for college credit MAY be used to meet high school graduation requirements and that this determination is solely made by the high school district. For high school credit, I will request that an official transcript be sent to my high school.

X

Date:

Student’s Signature
THIS SECTION MUST BE COMPLETED BY THE HIGH SCHOOL COUNSELOR OR PRINCIPAL.
I certify that the student has completed the
10th grade
11th grade and will be at least 14 years of age at the opening day of the session of attendance. Expected date of high school graduation _________________.
Students are limited to a maximum of two (2) courses per semester. State law places a limit on the number of HS/CC students who may enroll in Exercise Science classes.
I have determined that the above student has the ability to benefit from “advanced scholastic or vocational work” and is attending high school for at least the minimum high school day.
Authorized by (print name & title):

X

Date:

Signature of High School Counselor or Principal
High School Address:

(Please provide address if student attends a non-public high school (e.g. home school).

Number & Street

City

Zip Code

PARENTAL SIGNATURE REQUIRED FOR ALL HIGH SCHOOL/COLLEGE CREDIT STUDENTS.
NOTE:
• All classes taken at Grossmont and/or Cuyamaca are for college credit and will be a permanent part of the student’s college transcript.
• Each high school will determine if college courses will be used for high school credit.
• All students MUST meet all academic and conduct standards set by the college. See college catalog.
• At the postsecondary level, parents have no inherent rights to inspect a student’s education records. The right to inspect is limited solely to the student.
• Course content is not modified for high school students.

Parent’s Signature: X

Date:

RETURN ALL COPIES TO THE COLLEGE ADMISSIONS AND RECORDS OFFICE
White Copy: Admissions Office

Yellow Copy: High School

Pink Copy: Student

00-0719-001W rev. 8/06/mb