DUAL CREDIT CONSENT FORM

       
Student Name:
SSN:
High School: Application #

FALL CLASSES

 YEAR:  
   

SPRING CLASSES

  YEAR:
 
COURSE #1:
   
COURSE #1:
COURSE #2:
   
COURSE #2:

Enrollment for the above dual credit course(s) is contingent upon meeting the requirements of the Texas Success Initiative, the college course placement test scores, and successful completion of pre-requisite courses.

I understand that my official San Antonio College (SAC) transcript will not be released until my official high school transcript , including my date of graduation, is on file in the Admissions and Records office. I may, however, request in writing to the Admissions and Records office that an official transcript be released to other colleges and universities for which I am applying for admissions.

I am aware that it is my responsibility to submit all required documents to the SAC Dual Credit Office by the announced deadline(s) and to maintain satisfactory academic progress. I understand that failure to do so will result in not being permitted to participate in the Dual Credit program.

   
__________________________________________________
____________________
Student's Signature
Date

Parental Approval

I hereby grant my child, ___________________________________________, permissions to enroll in the Dual Credit program at the designated college. Students transcripts and required test scores must be on file before your child is eligible for dual credit classes.
     
Parent/Guardian:
_________________________________
______________________________
Signature/Date
Print Name

High School Official Approval

The above named student has permission to enroll in the dual credit course(s) listed above.
   
High School Official:
__________________________________________________________
Signature/Date

College Official Approval

Qualifying Test Scores:
THEA
SAT
ACT
ASSET
ACCUP
OTHER
Date Taken:
____________________
   
College Official:
____________________________________________________________
Signature/Date
All colleges of the Alamo Community College District are equal opportunity colleges. Applicants are admitted without regard to race age, color, gender, nationality, religion or disability (as defined by the ADA). The college district complies with the Title IX of the education amendments of 1972.
 
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REV. 12/05