College Concurrent Enrollment: IHCD-E4

STATEWIDE AGREEMENT/CONTRACT BETWEEN
SCHOOL DISTRICT 27J AND A COLORADO COLLEGE
HIGH SCHOOL CONCURRENT ENROLLMENT

You have indicated that you are interested in enrolling in a college course while a high school student. The State of Colorado provides several options for high school students who meet high school standards to begin college early. The purpose of these options include promoting content standards, providing academic challenges, and providing access to academic courses that may not be available at a local high school to meet high school graduation requirements. All Colorado public four-year and two-year colleges, four area vocational schools and the three private colleges participate in the following concurrent enrollment programs.

• High school seniors who have completed their high school graduation requirements may begin college under the FAST TRACK PROGRAM (The school district pays the tuition at the time the student registers and there is no limit on the number of courses).
• High school juniors (11th grade) and seniors (12th grade) who are ready for college work in one or more subject areas are encouraged to enroll in college level work under the POSTSECONDARY ENROLLMENT OPTIONS PROGRAM (School districts reimburse the students for the tuition if they pass the course). Students are entitled to reimbursement for two courses per semester. According to the law, school districts may voluntarily agree to pay for additional courses per term. PSEO does not include course enrollment during summer session.
• High school students 16 years or older may open enroll in college courses as SPECIAL NON-DEGREE SEEKING STUDENTS. There are no limits on the type of course other than academic prerequisites and placement tests required for specific courses. Because these enrollments are not funded under the School Finance Act, the student is not entitled to tuition reimbursement by the school district.

Section A: To be completed by students.

Name of Student_______________________________________________________________________________

SSN____________________ School ID______________________ Birth Date_______________________

Address______________________________________________________________________________

City___________________ State_________ Zip Code___________ Telephone______________________

Name of Parent/Guardian________________________________________________________________________

School District________________________________________________________________________________

High School______________________________HS Principal___________________________________

College__________________________________ Term_______________________ Year 20____- 20____

College Course(s)                                                                    Delivered (College, On-line, At High School)

______________________________________ ___________________________________ ______________________________________ ___________________________________ ______________________________________ ___________________________________ ______________________________________ ___________________________________

Take this form to your high school counselor. Section B will indicate which options are available for you. This contract is student and college specific. A separate contract must be completed for each college that the high school student plans to attend.

Section B: Student Eligibility To be completed by High School counselor/principal. Check all that apply.

a) ____ This student is a senior who has met or will meet the high school graduation requirements before the start of the college course enrollment – FAST TRACK.
b) ____ This student is eligible to participate and has the maturity to enroll in a college level course and completed the assignments for the course.
c) ____ The school district agrees to pay the tuition for _______________________________Fast Track courses this term.
d) ____ The student enrolled in 11th grade.
e) ____ The student is enrolled in 12th grade.
f) ____ The school district agrees to pay tuition reimbursement for _________________________PSEO courses this term.
g) ____ This student is enrolled in grade 13, often referred to as a fifth year senior, INELIGIBLE for PSEO.
h) ____ This is an International student attending high school on a F1 Visa, INELIGIBLE for PSEO.
i) ____ This student is interested in remedial, pre-college level, or P.E. courses, INELIGIBLE for PSEO.
j) ____ This student wishes to enroll in a course for high school credit only. NOT CLAIMABLE for FTE.
k) ____ This student wishes to pay own tuition. Go to Section D and sign.

Signed ______________________________________________________________________ Date___________________ Title ___________________________________________________

For districts that require central administration approval, School District Central Administration sign below

Signed ________________________________________________________ Date___________________

School District Central Administration

Title ___________________________________________________

Section C: Approved by college administrator (or designated college staff who administers high school concurrent enrollment program). Keep copy of signed agreement on file at the college

Name of College _____________________________________________________________________________________

Approval stamp or Comments _____________________________________________________________________________________

Signed ________________________________________________________ Date___________________

Title ___________________________________________________

Section D: To be signed by student AND student’s parent/guardian

I understand that this agreement entitled me/my child to enroll in college courses. I understand the following:

1. The course is a college-level course (i.e., remedial instruction and pre-college level courses are not eligible)
2. The course satisfies college graduation requirements (note: physical education courses, remedial, basic skill courses, and advanced placement courses are not eligible under Fast Track or PSEO).
3. The course credits will only transfer if I earn a C or better in the course.
4. The grade received in this course will appear on my college transcripts.
5. f I withdraw from the course after drop/add date, I will receive a W or W/F on my college transcript and will not be eligible for tuition reimbursement.
6. I am not eligible for the privileges of a college student, i.e., may not participate in college activities or sports, not eligible for federal or state-funded financial aid, including institutional scholarships funded with general fund dollars.
7. The application entitles me to enroll as a high school concurrent student and does not admit me into the college or a degree program.
8. I may be eligible for tuition reimbursement by the school district if I meet my district’s requirements. Waived if (k) is checked in section B.

In signing this agreement, I authorize the college to release my transcript to my school district at the end of the course.

Student’s signature _____________________________________________________________

Date ________________________

Parent’s signature _____________________________________________________________

Date  ________________________