Last Updated: 12/15/2017

Academy District 20

CONCURRENT ENROLLMENT AGREEMENT Career Start at Pikes Peak Community College/ISSA

The Concurrent Enrollment Programs Act (CRS 22-35-101 et seq.) makes it possible for qualified, academically prepared students to simultaneously enroll in their local high school and in approved institutions of higher learning. To participate, students must be under the age of 21, enrolled in 9th – 12th grade, registered with Academy District 20, and have met minimum course prerequisites and all required assessments. Concurrent Enrollment students earn both high school and college credit for the same course, and D20 pays the prevailing community college per credit hour rate toward the student’s tuition. The Concurrent Enrollment Programs Act applies to courses taken during the school year. Summer courses are self-pay only. The student and his/her parent/guardian should review all program requirements and consult the student’s high school counselor prior to program participation.

Fall 2018 PLEASE CHECK WITH YOUR COLLEGE & CAREER COUNSELOR FOR THE SCHOOL’S APPLICATION DEADLINE.

All sections and signatures must be completed and submitted to College & Career Services by May 15, 2018.

Students, work with your Counselor to complete this form.

SECTION A: Student information required for each school year: Student name _________________________________________ Current Grade _______ Graduation Year _______ High School _____________ D20 Student ID# __________________ College Student ID# (if known): __________________ Application for: PPCC or ISSA Email address __________________________________Student phone: _______________________________ Learning plans that apply: IEP 504 ALP ELL MTSS Other SECTION B: Participation and enrollment agreements to be carefully reviewed and acknowledged by parents/guardians and students. 1. The Student received advice and counsel about participating in the Concurrent Enrollment Program from his/her counselor. 2. The Student must establish an Individual Career and Academic Plan (ICAP) and a postsecondary goal. The requested college course(s) must

align with the Student’s ICAP and be available to the student only through concurrent enrollment. The course(s) shall count for credit toward the Student’s high school graduation requirements.

3. Only college courses that apply toward a college degree, certificate, or 090 level basic skills courses (for 12th graders only), are covered under the Concurrent Enrollment Program.

4. The Student must demonstrate college readiness as defined by the institution of higher learning and D20. 5. In the college application process, the Student must agree to apply for the College Opportunity Fund (COF). This establishes eligibility for

the state tuition stipend that reduces a Student’s tuition costs before enrolling in any Concurrent Enrollment course. (N/A for UCCS Extended Studies and International Salon and Spa Academy)

6. The Student must authorize use of his/her COF stipend for all eligible credits for the semester stated above as defined by the institution of higher learning. College level credits used will be deducted from the Student’s COF lifetime account (145 credit hours) with the exception of basic skills courses.

7. The actual grade received in each Concurrent Enrollment course will appear on the Student’s official high school and college transcript College course credits may transfer in congruence with Colorado Guaranteed Pathways. The Student and his/her Parent/Guardian are responsible for researching the transferability of college credit to subsequent institutions of higher learning.

8. If the Student seeks to add, drop, or withdraw from a college course, he/she must meet with his/her high school counselor and notify the college Concurrent Enrollment staff.

9. If the Student receives a grade of F, Incomplete, or withdraws from a course after the college drop deadline, the Student and the Student’s Parent/Guardian will be required to pay D20 the tuition initially paid on the Student’s behalf. Any outstanding tuition will be added to the Student’s fees. The F/WF grade will appear on the student’s high school and college transcripts.

10. In compliance with the Family Educational Rights and Privacy Act (FERPA) of 1974, the Student agrees to allow information to be shared between the college and D20 as it relates to the successful completion of the courses covered under the Concurrent Enrollment Program. The Student/Parent give D20 permission to release disability specific information or education plans to the college.

11. For an approved Student, D20 shall only pay, directly to the institution of higher learning, the prevailing community college on-campus tuition rate with COF applied and other fees applicable to the program. This rate applies for online and on-campus courses whether taken at a 2 year, 4 year, or vocational college (including Extended Studies) and does not include fees, books, supplies, or any tuition costs in excess of the rate mentioned above.

12. The Student shall pay to the institution of higher learning any additional costs not covered by D20 to include campus fees, course fees, books, supplies, and tuition beyond what is covered by D20 as outlined in item 11.

13. The Student is responsible for applying for admission with the college, registering for college courses, and monitoring progress. 14. The Student and parent/guardian acknowledge concurrent enrollment classes are taught by college/university faculty and, therefore, are

not taught or supervised by D20 Colorado licensed teachers or administrators. 15. Courses are reviewed for high school credit type and weighted status, and they are posted to the Student’s transcript accordingly.

Last Updated: 12/15/2017

Academy School District 20 is committed to a policy of nondiscrimination in relation to race, color, gender, sexual orientation, religion, national origin, age, marital status, disability, or any other legally protected class. Respect for the dignity and worth of each individual shall be paramount.

SECTION D: ICAP Postsecondary Goal that aligns to the college program: Navigate to your ICAP postsecondary goal by logging into Naviance and going to About me > Goals. Copy the postsecondary goal here: _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________

Signatures: To be completed by the Student’s and the Student’s Parent/Guardian ____ I have reviewed all of the requirements and agreements to participate in concurrent enrollment. ____ I understand that D20 shall only pay, directly to the institution of higher learning, the prevailing community college on-campus tuition

rate with COF applied and other fees applicable to the program. This rate applies for online and on-campus courses whether taken at a 2 year, 4 year, or vocational college (including Extended Studies) and may not include fees, books, supplies, or any tuition costs in excess of the rate mentioned above. If an F, Incomplete, or Withdrawal/WF is earned in the class, tuition paid by the D20 on the Student’s behalf must be reimbursed to D20.

_________________________________ ____________ ___________________________________ ____________ Student Signature Date Parent/Guardian Signature Date

SECTION C: Career Start/ ISSA Program Please indicate your first choice of program and your second choice of program in which you are enrolling by entering a “1” or a “2” in the box next to your choice. Also, please indicate what year you will be in the program of your choice by circling the year.

Auto Collision Repair 1st Yr 2nd Yr Diesel Power Technology 1st Yr 2nd Yr Multimedia Graphic Design 1st Yr 2nd Yr

Auto Service Technology 1st Yr 2nd Yr Early Child Education 1st Yr Radio & Television 1st Yr 2nd Yr

Construction 1st Yr 2nd Yr Fire Science 1st Yr Welding 1st Yr 2nd Yr

Criminal Justice 1st Yr 2nd Yr Health Career Exploration 1st Yr Zoo Keeping 1st Yr

Culinary Arts 1st Yr 2nd Yr Health Science Technology 1st Yr

Cyber Security 1st Yr Interior Design 1st Yr ISSA – Hairstylist 1st Yr 2nd Yr

Students choosing a Career Start program will be responsible for applying for admission to PPCC and registering for their chosen Career Start

program through the PPCC website.

Signature: To be completed by the Student’s High School College and Career Counselor ____ The Student meets the college readiness criteria necessary to participate in Concurrent Enrollment Program. ____ The Student is on track for graduation. ____ The Student meets prerequisite requirements for Career Start program if applicable.

Program Prerequisite Course # ACT Score Accuplacer Score

CRJ II CRJ I and College Comp & Reading or Basic Comp CCR 092 English: 18+, Reading: 17+ Reading: 80+, Sentence Skills: 95+

CUA II CUA I and ServSafe Certificate CUA 101 N/A N/A

ECE College Comp & Reading or Basic Comp CCR 092 English: 18+, Reading: 17+ Reading: 80+, Sentence Skills: 95+

HST College Comp & Reading or Basic Comp CCR 092 English: 18+, Reading: 17+ Reading: 80+, Sentence Skills: 95+

Algebraic Literacy MAT 055 Math: 19+ Elementary Algebra: 61+

____ I approve of the requested program listed above; it aligns with the Student’s ICAP, including postsecondary goal. _________________________________ ____________ Counselor Signature Date

Incomplete applications will be returned for revision.

SECTION B - CONTINUED 16. The student has the option to self-pay his/her own tuition in full. In this case, items 9, 10, 11, and 12 above do not apply.

I, _________________________________________, understand and will abide by all of the statements in this Section B. Date: _____________ Student Name

I, _________________________________________, understand and will abide by all of the statements in this Section B. Date: _____________ Parent/Guardian Name

Concurrent Enrollment (CE) Programs

Career Start/ISSA Student Agreement

Student___________________________________________ Date ________________ High School _________________________________________

The purpose of this agreement is to clarify the student responsibilities for participating in district Concurrent Enrollment (CE)

Programs.

The student agrees to:

1. Remain in the program for a full school year. The student’s high school counselor must approve any schedule changes. Please note! Continuation in the program for the 2nd semester is contingent upon successfully passing the 1st semester. Likewise, students wishing to apply for the 2nd year of a 2-year program must have successfully completed year 1.

2. Complete a transportation agreement. This form identifies how the student plans to get to and from the CTE program. Advise the high school counselor during the year if transportation needs change.

3. Observe the student attendance policy for CE programs. Five absences in any one quarter are considered excessive and

may result in the withdrawal of the student from the program. Note: When calculating absences, 4 tardies equals one

absence. “School related absences,” such as those for testing, athletic participation or school closures are not included in the

limit but must be validated by a counselor or district official. Program withdrawal may result in a loss of credits and thereby

jeopardize high school graduation and may require repayment of tuition to the district.

5. Attend CE programs on all days for which District 20 provides transportation. CE programs may be in session on days

when other District 20 students do not have school. Please refer to the calendar that the student will receive prior to the start

of the school year.

6. Schedule doctor’s appointments, etc. after school whenever possible. Please make every effort to avoid missing CE

programs. Career and Technical courses are approximately 160 minutes in length, the equivalent of almost 2 block classes

in the student’s home high school.

7. Agree to pay for and obtain immunizations or background checks. Please check with the counselor for the requirements

for specific programs. (i.e., Hepatitis B series for medical prep).

8. Abide by the rules of conduct under the student’s home high school. See the High School Student Handbook and those of

the Career and Technical Education course (provided at orientation). Conduct oneself in a manner that reflects personal and

district pride.

9. Complete payment of the $75.00 application fee. The Career Start/ISSA application fee can be paid via check made out

to ASD20 and attached to this application, or it can be paid via PayforIt after the application has been received. The fee is

non-refundable if the student is accepted into any concurrent enrollment program.

I have read and agree to follow the above requirements.

___________________________ _______________

Student Signature Date

___________________________ _______________

Parent/Guardian Signature Date

Academy School District 20 is committed to a policy of nondiscrimination in relation to race, color, gender, sexual orientation, religion, national origin, age, marital status, disability, or any other legally protected class. Respect for the dignity and worth of each individual shall be paramount.

ACADEMY SCHOOL DISTRICT 20 PROVIDES BUS TRANSPORTATION FOR STUDENTS ATTENDING CAREER AND TECHNICAL

EDUCATION COURSES.

TRANSPORTATION IS PROVIDED FOR THE MORNING SESSIONS (9:00-11:40AM) TO THE FOLLOWING CAMPUSES: PIKES PEAK COMMUNITY COLLEGE’S CENTENNIAL (PPCC) CAMPUS (SOUTH CAMPUS) INTERNATIONAL SALON AND SPA ACADEMY

TRANSPORTATION IS NOT AVAILABLE FOR AFTERNOON CAMPUS COURSES

Concurrent Enrollment (CE) Programs

Career Start/ISSA Student Transportation Agreement

If you wish to allow your student to drive his/her own vehicle at any time during the school year to PPCC or ISSA please read and sign below.

I give permission for my student, to drive his/her own vehicle to the morning and/or afternoon courses he/she attends. I understand that if this privilege is abused, the district will require the student to ride the school bus. Senate Bill 05-36, prohibits a minor driver who has held a license for less than six months from transporting a passenger who is under 21 years of age and who is not a member of the driver’s immediate family. Furthermore, a minor driver who has held a license for less than one year may not transport more than one passenger who is under 21 years of age. I understand that this prohibition applies to minor drivers attending Career and Technical courses. I further understand that the district does not monitor the occupants of privately driven vehicles including those containing students who may elect to carpool. I am giving my permission for my student to participate as a driver or passenger in a carpool in accordance with Colorado Law as it applies to newly licensed drivers.

________________________________________________ ____________________ Parent/Guardian Signature Date ________________________________________________ Print Parent/Guardian Name ________________________________________________ _____________________ Student Signature Date ________________________________________________ ________________________________ Student Name Name of High School

Academy School District 20 is committed to a policy of nondiscrimination in relation to race, color, gender, sexual orientation, religion, national origin, age, marital status, disability, or any other legally protected class. Respect for the dignity and worth of each individual shall be paramount.