College Credit Plus Intent to Participate

Previous CCP CourserequiredHave you taken a College Credit Plus course before?

Yes

Have you taken a College Credit Plus course before?

Name of Previous Courserequired

What College Credit Plus course(s) have you taken?

Previous Course Locationrequired

At which school did you take the previous College Credit Plus course(s)?

Student Namerequired

First Name

Last Name

Student Email Addressrequired

Student Addressrequired

Cityrequired

Staterequired

Zip Coderequired

Student Graduation Yearrequired

2028 - Junior

2029 - Sophomore

2030 - Freshman

Parent Namerequired

First Name

Last Name

Parent Phone Numberrequired

Parent Email Addressrequired

Confirmation of form submission to go to this address.

Certification Statements

Please indicate your agreement by checking all eight of the boxes below:

#1required

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

#2required

I understand participation in CCP is completely dependent upon acceptance as a student at a participating college/university.

#3required

I understand it is the responsibility of the student/parents/guardians to apply for acceptance to the college/university and to abide by all deadlines and requirements regarding the CCP program.

#4required

I 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.

#5required

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.

#6required

I understand my responsibilities, the benefits, and the possible risks of participating in the College Credit Plus program.

#7required

I acknowledge that any CCP courses taken off campus can NOT be used to replace on-campus graduation requirement courses.

#8required

I understand that I must complete the College Credit Plus Transcript Request after I apply for admission to have my transcript sent from St. Xavier.

SIGNATURES

Please confirm the selections above by completing the following information with a signature. This is your electronic signature.

Parent Signaturerequired

Last Name

First Name

Student Signaturerequired

Last Name

First Name

Please complete the security verification below.

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College Credit Plus Intent to Participate

College Credit Plus Intent to Participate Form