NAME

ADDRESS PHONE AGE D.O.B. GRADE LEVEL

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RECOMMENDATION: Meet with a college counselor or advisor to determine appropriate college course enrollment. Norco College will not be able to provide information regarding the completion of high school requirements or matters pertaining to high school graduation. Dual Enrollment students are not permitted to enroll in Kinesiology (KIN) courses or any course offered through Riverside City or Moreno Valley College.

PARENT/GUARDIAN APPROVAL: 1. Student Responsibilities: Students must act on their own behalf. Parents, guardians, relatives, or friends of Norco College students are not

permitted to enroll, drop, or add courses on behalf of the student. The same applies to requesting transcripts or grade verifications. 2. Student Records: Under Section 49061 of the Education Code, parents of college students will not be able to access their child's student

records, regardless of whether the student is under the age of 18. In accordance with this regulation, college records will be released to parents only with a written consent from the student. Parents are advised to check with the high school contact personnel for additional information.

3. Contacting Instructors: Your student is enrolled in a college course and it is important to understand that instructors work directly with students, as opposed to the type of parent interventions you may be accustomed to at the high school level. Under FERPA (Family Edu-cational Rights and Privacy Act), instructors are not required to discuss student performance or other student-related issues with parents. Norco College does not accommodate parent requests to contact instructors.

4. Course Content/Material: Norco College is an adult learning environment. As such, discussion topics and course materials are generally designed for adult students and may not be appropriate for younger students. Computers located at Norco College are not blocked from adult content, however, use of computers for viewing explicit material is not permitted.

5. Norco College assumes no responsibility for the supervision of minor students outside of the classroom setting. Parents are responsible for providing transportation to courses offed at Norco College and ensuring that their children are appropriately supervised before and after class.

Signature on this document certifies that I have read, understand, and agree to the above policies and requirements and that my child intends to register in public college courses that are not specifically designed for students under the age of 18, and that Norco College accepts no responsibility for any extraordinary supervision of students less than 18 years of age. Further, I accept responsibility for my child’s behavior while he/she is attending a Norco College course. I acknowledge that my child will be creating a permanent college academic record at Norco College, even though he/she is concurrently enrolled in high school. In an event of an emergency, I authorize first-aid and treatment to be performed by a nurse, physician, and/or mental health counselor at the Wellness Health Center at Norco College.

(Parent/Guardian Name) (Signature) (Date)

PRINCIPAL OR DESIGNEE OF JFK MIDDLE COLLEGE:

I certify that the student mentioned (above) would benefit from enrollment in a college course and has demonstrated adequate preparation for enrollment at Norco College.

NAME: SIGNATURE:

TITLE: DATE:

FOR OFFICE USE ONLY (JFK MIDDLE COLLEGE):

Principal/Designee signature completed IGETC Date Received:

Parent/Guardian and Student signature completed

Norco College Application Confirmation page attached Approved by:

(First) (MI) (Norco College Student I.D. #)

(Street) (Number) (City) (State) (Zip)

Application Period: Fall 2020: March 4th — April 10th

Applications will not be accepted beyond published deadlines

Class Options:

Fall: GUI-47 Spring: MUS-19 or THE-3

For more info. please see brief class description on the back of this form.

(Norco College application confirmation page not required for continuing students)

Pathways: New Continuing

Dual Enrollment - School/Parent Approval Form 2020-2021

STUDENT AGREEMENT:

The following must be submitted each term you wish to attend:

1. Norco College Online Admissions Application Confirmation page (not required if you are a continuing student) 2. Approval from high school Principal or designee 3. Parent/Guardian Approval and Student Agreement form

Applications will not be accepted beyond published deadlines

1. Eligibility: JFK students currently enrolled in 9th through 12th grade with Parent/Guardian & Principal/Designee

approval. 2. Maximum Units: Norco College allows dual enrollment students to register in a maximum of 4 courses up to 15 college units

only during the fall and spring semesters in order to enrich their educational experience. 3. Restricted Courses: Students may enroll in most college level courses, provided they meet the necessary pre-requisites.

The following courses may not be taken by high school students: All Kinesiology (KIN) courses. Additional course restrictions may be included at the discretion of the college. 4. Pre-Requisite Requirements: When a course has a pre-requisite requirement, it means that a student must demonstrate

pre-existing knowledge and/or skills to be successful in the course by completing the required previous course(s). 5. Assessment: All students planning to enroll in English courses must qualify for a certain course by completing an assessment test at

Norco College. 6. Fees: Dual enrollment high school students are not required to pay any enrollment, student services, transportation or health fees. Additional materials and parking permits are to be paid by the student, if needed. Riverside Community College District requires a valid parking permit displayed at all times. To purchase a semester parking permit for Norco College, log-on to MyPORTAL once registered for courses. 7. Course Registration: It is your responsibility to log into MyPORTAL to register for all course(s) by the designated college deadlines. Please note, that submitting this approval form and application does not register you in the course. 8. Rules & Regulations: All Norco College Dual Enrollment students are responsible for complying with the rules and regula-

tions of the college as published in the Norco College Catalog and schedule of classes. 9. Grades: The grade(s) you earn in your Norco College course(s) will become part of your official college academic record . It is your responsibility to make sure your high school receives college transcripts that you may need in order to receive high school credit. You can request transcripts via your WebAdvisor account or in person with Admissions & Records. A valid ID will be required. 10. FERPA: The Family Educational Rights and Privacy Act of 1974, as amended (sometimes referred to as the Buckley Amen - ment), is federal law that protects the privacy of education records. Schools are required to maintain that privacy, primarily by restricting release of records and the access provided to those records. Norco College protects the privacy of all enrolled students. If students choose to allow an individual permission to access to their education records, they must do so by writing a letter stating their intent. The letter must be accompanied by appropriate identification from both parties and is

valid for a single request.

I have read, understand, and agree to the above policies and procedures to be admitted as a Dual Enrollment student and I affirm that I attend high school classes for at least a minimum day and can benefit from college level courses.

STUDENT’S SIGNATURE (REQUIRED): DATE:

*The Family Education Rights & Privacy Act (FERPA) guarantees your right to privacy as it applies to your Norco College records. If you choose to give Norco College permission to release your information to JFK Middle College, please sign here.

STUDENT’S SIGNATURE (OPTIONAL): DATE:

CLASS DESCRIPTION: GUI-47: Career Exploration and Life Planning: In depth career and life planning: topics include extensive explora-tion of one's values, interests and abilities; life problem-solving and self-management skills; self-assessment including identifying one's skills and matching personality with work. An intensive career investigation; decision making, goal setting and job search strategies, as well as resume writing and interviewing skills will also be addressed.

MUS-19: Music Appreciation: A broad survey of music in the Western world, including terminology for describing musical elements, forms, and styles. Organized to acquaint students with the roles of music and musicians in society and with representative musical selec-tions through listening.

FOR OFFICE USE ONLY (NORCO COLLEGE):

Application confirmation/Current App Date Received: New

Completed & Signed S/PA Form A&R Staff: Continuing

Principal/Designee signature approved Comments:

Parent/Guardian signature approved Approved Not Approved XSPA updated

Approved Term: Approved By: Date: Student Notified:

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