Dual Enrollment 2017-2018

• Eligible Students o 9th – 12th grade o Qualifying scores on the ACT, MME, Compass, PSAT, or SAT. o All students who do not have a qualifying score on the ACT, MME, Compass, PSAT, or SAT MUST take the placement test

at Mott Community College regardless of where the student will take the Dual Enrollment course. This second assessment will be used as one more piece of information to determine if the student is ready for college courses.

• Courses o Students cannot take a Dual Enrollment course in the areas of hobby, craft, recreational, physical education, theology,

divinity, or religious education. o Students who wish to take Dual Enrollment courses in Advanced Placement content areas must have completed the Swartz

Creek High School offering of those Advanced Placement courses. o Students can take no more than 10 Dual Enrollment courses during high school.

See counselor for more details regarding limits on number of Dual Enrollment courses taken in a school year.

• Scheduling & Credit o 4 college credit hours are equivalent to 1 high school credit hour o 1 - 3 college credit hours are equivalent to .5 high school credit o Students who are dual enrolled in 1 course may be released for 1-2 hours during the day determined by counselor o Students who are dual enrolled will have the release time either 1st – 2nd hour or 5th – 6th hour

• Tuition and Fees

Swartz Creek High School will pay $632.17* toward tuition, course fees, technology fees, materials fees, registration fees, and late fees. The total payment from Swartz Creek will not exceed $632.17* per Dual Enrollment course and cost above this are the responsibility of the parent/guardian. (*This amount changes every school year and will be determined by Central Office by September) Example: 3 credit hour class will be paid up to $632.17 but a 4 credit hour class would be paid up to $1,264.34

• Grades

The grade earned by the student at the postsecondary institution shall transfer to Swartz Creek High School as the same grade. These grades will count, along with Swartz Creek High School grades, in the computation of the student’s GPA and class-rank. The actual grade points earned for AP and dual enrollment courses are listed below:

A = 4.0 x 1.25 = 5.0 A- = 3.8 x 1.25 = 4.75 B+ = 3.5 x 1.25 = 4.375 B = 3.0 x 1.25 = 3.75 B- = 2.8 x 1.25 = 3.5 C+ =2.5 x 1.25 = 3.125 C = 2.0 x 1.25 = 2.5 C- = 1.8 x 1.25 = 2.25 D+ = 1.5 x 1.25 = 1.875 D = 1.0 x 1.25 = 1.25 D- = 0.8 x 1.25 = 1.0 E = 0.0 x 1.25 = 0.0

• Dual Enrollment Process Meet with guidance counselor Complete a college application Complete Dual Enrollment Certification form and returned to their counselor Submit signed certification form to the college Orientation Register for the class

12th grade

OFFICE USE ONLY: __Cert __ ID __HST __GPA

__ACT/PT ___Orientation __AD/MS __Perc

Send completed certification, admission application and high school transcript to:

Office of Admissions & Recruitment Mott Community College

1401 East Court Street Flint, MI 48503

Fax (810) 232–9442 Telephone (810) 762–0255

School Billing Address:

1 – High School Information

2 – Student Information

3 – Approved Courses

4 – Dual Enrolled Student’s School District Approval and Payment Authorization

Applying for admission as:

At the beginning of the semester the student will be in:

Dual Enrolled (all or part paid by school) Early Admit (parent pays cost)

11th grade

High School Name: School Telephone: ( )

Student’s Name: SS# or MCC ID#

Address: City: State: Zip:

Telephone: ( ) Date of Birth: / / Anticipated HS grad year:

A. Parent/Legal Guardian Approval

I approve the above named student’s enrollment at Mott Community College. I will assume financial responsibility for the student’s tuition, fees, and books/supplies that are not covered by their school.

B. Student Approval

I authorize Mott Community College to release information concerning my academic progress, attendance and grades to my high school. If I wish for my parent/legal guardian to have access or ability to do business on my behalf, I will complete the Authorization to Release Information and submit it to the Record’s Office.

(Parent/Legal Guardian’s Signature) (Student’s Signature)

Fall 20 (Sept.– Dec.)

What is the students current GPA? ______

Winter 20 (Jan.– April) Spring 20 (May.– June) Summer 20 (July.– Aug.)

Counselor’s Name Counselor’s Signature Date

Date Date

Our records show that this student has met all of the requirements of the Postsecondary Enrollment Options Act of 1996. Further, this course(s) is/are not available in our school district, and that we will reimburse Mott Community College for tuition and fees in the amount indicated for these course(s).

The School District will be responsible for: Total Tuition & Fees Coverage up to: (per class or total)

Not Eligible for Funding

Date:

Dual Enrollment and Early Admit

Certification Form

10th grade* 9th grade*

Legal Name

* Additional 9th and 10th grade Approval Form required.

Principal’s Signature: (Required if Dual Enrolled Eligible)

Updated 10.7.14

Approved to take a maximum of ___1, ___2, ___3, or ___( ) classes.

Course # Course Title Cr Hr Circle one Below Course will fulfill HS graduation requirement

Example: ANTH 100-01 Survey of Forensic Science 3 And Or Yes □ No □

And Or Yes □ No □

And Or Yes □ No □

And Or Yes □ No □

And Or Yes □ No □

And Or Yes □ No □

x

_________________________ Student ID #

______________________________________________________________________ First Name MI Last Name _________________________________ Address _________________________________ ____/_____/_______ City/State/Zip Date of Birth _________________________________ (mm/dd/yy) Telephone #

to

Drop Course Section Code Course Title Campus

Main, SLBC, LAPR, NTC

Course Dates

Begins Ends

Credit/Contact Hours

Days Times

Begins Ends

Instructor Signature (if required)

ENGL 101-01 English Comp Main mm/dd mm/dd 3 3 M/T/W/R/F/S 9:00 10:00

Totals ____ _____ _______________________________________________________________ ________________________ Authorizing Signature* Date *Advisor or Counselor Signature required for all students on Academic Probation *Students taking more than 18 credits (9 for Spring/Summer) must have the signature of the Dean of the Division that houses their program of study

Mott Community College Class Schedule Worksheet

I agree to pay for all charges I incur including tuition & non-refundable fees. If I decide not to attend college, these classes must be dropped by me. (See published tuition refund dates). I am aware of the policies pertaining to tuition and fees including charges associated with any changes that I make to this schedule.

____________________________________________ Student Signature Date

Method of Payment

___ Cash ___ Check ___ Credit Card ___ Financial Aid ___ UAW/GM ___ Other

Term ____ Spring ____ Summer ____ Fall ____ Winter

Please check if this is a new address

University of Michigan-FlintApplication for Dual Enrollment

Last updated: 11-21-14

Office of Admissions • 303 E. Kearsley St. • 245 University Pavilion • Flint, MI 48502-1950 • (810) 762-3300 • Fax: (810) 762-3272 • umflint.edu/admissions Å admissions@umflint.edu

OP

TIO

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GENERAL INFORMATION (Please type or PRINT LEGIBLY with BLACK INK.)

Last Name (Legal) First Name (Legal) Suffix Middle (Full)

Previous last name(s), if any Birth date (mm/dd/yy) Social Security Number Gender

m Female m Male Current Mailing Address (Number and Street) City State Zip Code

Permanent Mailing Address (if different) City State Zip Code

Mobile Phone Home Phone Email Address( ) - ( ) -

Citizenship Native Language

m U.S. Citizen m Permanent Resident/Green Card m Noncitizen Country

Race/Ethnicity: Information is collected for state and federal reporting requirements, as well as for statistical purposes. It is not used in the admission process and will have no bearing on your admission status.

Please indicate whether you consider yourself to be Hispanic or Latino. m No, not Hispanic or Latino m Yes, Hispanic or Latino

In addition, select one or more of the following racial categories to describe yourself: m American Indian or Alaska Native m Asian m Black or African American m Native Hawaiian or Other Pacific Islander m WhiteParent Email Address Parent Mobile Phone ( ) -

DUAL ENROLLMENT OPTIONSThe University of Michigan-Flint offers four pathways through which students may pursue college level coursework while completing high school:

Standard Dual Enrollment: Standard dual enrollment is an excellent opportunity for students from local schools looking to supplement their high school experience with more challenging, college-level courses.

Dual Enrollment Educational Partnerships (DEEP): DEEP programs are cohort-style dual enrollment programs that range from 6-14 credit hours over an academic year. These programs are created in collaboration with a number of partnering school systems. Students must be enrolled at one of these partnering schools in order to participate in a DEEP program.A complete list of DEEP programs and schools can be found at www.umflint.edu/k12.

Genesee Early College (GEC): The GEC is an intensive five year high school program that combines the best elements of the high school and early university experience. Students must presently be enrolled as a GEC high school student in order to dual enroll through this option.

Grand Blanc Early College (GBEC): The GBEC is an intensive three year high school program that combines the best elements of the high school and early university experience. Students must work with their high school counselor to apply for this program.

Which of the dual enrollment types are you pursuing? m Standard m DEEP m GEC m GBEC

Anticipated date of enrollment (Enter year) m September - Fall 20______ m January - Winter 20______ m May - Spring 20______ m July - Summer 20______

ENROLLMENT INFORMATION (To be completed by Standard and DEEP applicants. Please complete one.)

Standard Dual Enrollment:

Please list the courses you plan to take:

Will your school or the state of Michigan be assisting you with the cost of attendance? m Yes m No

Dual Enrollment Educational Partnerships (DEEP):

Which Location?

Which Semesters (check all that apply)? m September - Fall 20______ m January - Winter 20______ m May - Spring 20______ m July - Summer 20______

Which Program?

SUPPORTING MATERIALSHave you ever been expelled, suspended, or placed on probation by any secondary school or collegeyou attended for academic dishonesty or because of an offense that harmed or had the potential to harm others? m Yes m No

Have you ever been convicted of a criminal offense other than a minor traffic violation, or been foundto be delinquent by a juvenile court, or are there such charges currently pending against you at this time? m Yes m No

If you answered yes to either of the questions above, you must include a separate, detailed statement of explanation.

PERSONAL INFORMATIONBy my signature, I certify that the answers I have given to all questions on this application are correct and complete to the best of my knowledge. I understand that falsification or omission of information or credentials may result in revocation of admission. I understand that I am responsible for following the University of Michigan-Flint’s registration policies. If I fail to comply with the University’s policies, I understand that I will be responsible for any charges that are incurred. Additionally, I understand my signature below authorizes the University of Michigan-Flint to release my academic information including, but not limited to grades, transcripts, enrollment, and attendance records to my current school or third party agencies, school district administrator(s), and intermediate school district (ISD) administrator(s) each term during my attendance as a student.

Student Signature (required) Date

My son/daughter has my approval to enroll as a dual enrolled student at the University of Michigan-Flint. I understand that I am responsible for payment of charges incurred by my child that are not covered by the school district for all dual enrollment terms.Parent Signature (required) Date

PAYMENT AUTHORIZATION (To be completed by public school officials.)

The school district identified below commits to provide financial support pursuant to state regulations in support of dual enrollment.

Name of High School

High School Official Signature Title Date

Any balance not covered by the high school is the student’s/parent’s responsibility

IN-STATE TUITION GUIDELINESAre you a Michigan resident? m Yes, since (month/year): m No

If you have lived outside the state of Michigan in the last three years, please list the most recent state (or nation if outside the US) and approximate dates you lived there.

If any of the following circumstances listed below apply, you are required to file an Application for In-State Tuition if you wish to be considered for in-state tuition assessment.

• You live outside the State of Michigan for any purpose. • You attended or graduated from a college outside the State of Michigan. • You lived or worked outside the State of Michigan at any time within the last three years. • You are not a U.S. citizen. • Your spouse, partner, or parent is in Michigan as a nonresident student, medical resident, fellow or for military assignment or other temporary employment. • You are 24 years of age or younger and a parent lives outside the State of Michigan. • You are 24 years of age or younger and attended or graduated from a high school outside the state of Michigan. • You attended or graduated from an out -of -state high school and have been involved in educational pursuits for the majority of time since high school graduation. • You attended any University of Michigan campus (Ann Arbor, Dearborn, or Flint) as a nonresident.

Questions pertaining to your residency status can be answered by staff in the Residency Classification Office, University of Michigan Office of the Registrar, 1210 LSA Building, 500 SouthState Street, Ann Arbor, MI 48109-1382, phone (734) 764-1400. To apply for in-state tuition classification visit www.ro.umich.edu/resreg.php.

ACADEMIC HISTORYList the most recent high school(s) attended. Official transcripts are to be forwarded to the UM-Flint Admissions Office by your guidance counselor.

High School City, State Attended from Attended to (mm/yy) (mm/yy) Graduation Year For office use only

Name: ___________________________________________________ Home Phone: (______) ____________________

E-Mail Address: _____________________________________________ Cell Phone: (______)____________________

Social Security Number: ________-_________-________ Birthdate: ___________________ Gender: Male/Female

Have you taken dual enrollment/direct credit classes through Baker College before: ☐ Yes ☐ No If yes, when? _________________________________________

In compliance with federal reporting requirements, Baker College must seek to identify the ethic/racial background of

applicants for admission. You are encouraged to supply this information but may decline without any way prejudicing

your application. Please check on box to identify the race group you think best applies to you.

☐ Hispanics of any race

For Non-Hispanics Only:

☐ I decline to answer

☐ Allen Park ☐ Auburn Hills ☐ Cadillac ☐ Cass City ☐ Clinton

Township☐ Flint ☐ Jackson ☐ Muskegon ☐ Owosso ☐ Port Huron ☐ Online

☐ American Indian or Alaska Native

☐ Asian

☐ Black or African American

☐ Native Hawaiian or other Pacific

Islander

☐ White

☐ Two or more races

NO APPLICATION WILL BE PROCESSED NOR WILL A STUDENT BE REGISTERED

UNTIL ALL OF THE FOLLOWING HAVE BEEN COMPLETED AND RECEIVED:

1. Both sides of this application have been completed and signed.

2. Course selection is completed on the application.

3. Tuition calculation worksheet completed by the applicant’s high school counselor or principal orBaker College.

BAKER COLLEGE

Application for ☐ Dual Enrollment ☐ Direct Credit ☐ Home School

I plan to enter: ☐ Fall (September) ☐ Winter (January) ☐ Spring (March) ☐ Summer (June)

I plan to attend: ☐ Day Classes ☐ Night Classes

College Use Only

UIN: _______________________________________

No. of Courses at High School: ____________________ Courses Approved for Dual Enrollment/ Direct Credit: ☐ Yes ☐ No

Date: __________________ Quarter: __________________ Receipt No: __________________ Initials: _______________

Last First MI Area Code Number

Address: ___________________________________________________________________________________________

Number & Street City State Zip Code

☐ Yes, Baker College has permission to text me at this number.

High School: ___________________________________________________ Graduation Year:_____________________

College Use Only

Baker College Acknowledgement Form for

Dual Enrollment / Direct Credit / Home School

To the Student: By initialing each line below, I confirm / understand / acknowledge all of the following:

__________ I understand that Baker College is regionally accredited by the Higher Learning Commission of the North Central

Association of Colleges and Schools.

__________ I am enrolling in college level courses and will be held to college academic and financial policies.

__________ I understand that any grade earned is recorded on my permanent Baker College transcript and will NOT be

removed.

__________ I am responsible to verify with any other higher education institution that I may choose to attend in the future as to

the transferability of my dual enrollment / direct credit credits.

__________ I give Baker College permission to release my grades and attendance records to my high school.

__________ I understand that FERPA regulations eliminate the release of any of my information without my written consent.

__________ I understand that tuition for high school students taking classes not approved by the high school/home school is the

responsibility of my parent regardless of the grade earned.

Student Signature: ________________________________________________________________________ Date: ________________

Home School Students: Tuition (50% of current BC tuition) and books are the responsibility of the student.

I certify that the above-named student meets all of the conditions outlined in the Postsecondary Enrollment Options Act, 1996 PA

160, as amended by 2012 PA 134, and is currently eligible for dual enrollment at Baker College.

It is understood that Baker College will transmit an invoice to the School District of detailing the tuition

and fees of the above-named student. I acknowledge that our district is responsible for the lesser amount of: 1) The actual charge of

tuition and fees; or 2) the student’s foundation allowance, adjusted to the proportion of the school year the student attends the

postsecondary institution. The student is eligible to enroll in the following course(s) at Baker College as a dual enrolled/direct credit

student:

Course(s) to be taken on Baker Campus (Dual Enrollment) or at their High School (Direct Credit):

SECTION (College Use Only) TIME DAY CLASS TITLE & CODE (e.g. Composition I ENG 101)

Student Signature: _________________________________________________________________________ Date: ______________

Student Printed Name: __________________________________ ___________________________________

Counselor Signature: _______________________________________________________________________ Date: ______________

Counselor Printed Name: ____________________________________________________________________

(If student is home schooled, parent/guardian should sign in place of counselor)

Has the student received accommodations under the Individual with Disabilities Education ACT (I.D.E.A.) or the Section 504, Rehabilitation Act of 1973? Yes No

College Use Only UIN: _______________________________________

Name: Last First Middle

Street Address City State ZIP

Social Security Number Date of Birth

Home Ph Cell Ph Email

Will this be your first semester as a Kettering student? Yes No

Gender: Female Male Highest Completed Academic Level: 10th 11th

I wish to enroll in the following course(s):

Course Reference Number (CRN) Title Credits

Course Reference Number (CRN)

Title

Credits

Start Date

End Date

My signature indicates that I understand and accept the following admission requirements:

* Minimum High School 3.2 GPA upon initial enrollment and maintain a high school

3.2 GPA and maintain a Kettering cumulative GPA of 2.0 in subsequent enrollments

* Maximum of two courses per term

* Registrar's approval for course work

* Enrollment based on space available

* Submit high school transcript

Student Signature Date

Counselor Signature Date

Registrar's Approval Date Mail signed form to: Registrar's Office, 1700 University Ave., Flint, MI 48504-6214 or Fax signed form to:

(810) 762-9836 or Email signed form to registrar@kettering.edu. For questions, call (810) 762-7476,

Monday through Friday, 8:00 a.m. to 5:00 p.m.

Original: Registrar Copy - Financial Aid, Student

IA Dual Application Revised 7 May 2014

Office of the Registrar PH 810-762-7476 FX 810-762-9836 registrar@kettering.edu

Kettering University

Application and Registration

For Early/Dual Enrollment for High School Students

HIGH SCHOOL STUDENT CERTIFICATION

To be submitted after receiving registration confirmation from Kettering University

PART 1: For Student and Parent/Guardian to Complete and Sign

I am applying for enrollment for (check one): _____ Early Enrollment _____ Dual Enrollment high school student.

Will this be your first term as a Kettering student? _____ Yes _____ No. I wish to start classes for the ___________________ term.

Student’s Name ______________________________________________ Social Security No. ___________________________

Email Address_____________________________________________

Address _____________________________________________________ City, State, ZIP _____________________________________

Parent’s Name________________________________________________ Home Phone _________________ Cell __________________

School District________________________________________________ High School Name ___________________________________

Counselor’s Name _________________________________ Phone Number _______________Email address_______________________

I, ______________________________________________, understand that I am responsible for all costs associated with tuition, books and supplies that are not covered by my high school.

_____ Discover _____ MasterCard _____ Visa Card #______________________________________________________

Authorized Cardholder’s Signature_________________________________________________ Exp. Date ___________________

Student’s Signature___________________________________________________________ Date _____________________________

Parent/Guardian’s Signature____________________________________________________ Date _____________________________

PART 2: For High School Official to Complete and Sign

Contact Person ___________________________________________ Course(s) Recommended __________________________________

I certify that this student named above is currently in the (Check one) _____ 11th

_____ 12th

______ other grade

at ______________________________________ high school and give permission for this student to attend Kettering University.

S/he is expected to graduate by _____________________, 20_____. This student’s grade point average is _________________.

Course(s) will be used to fulfill high school graduation requirements: (Check one) _____Yes _____ No

Counselor/Principal Signature ___________________________________________________________ Date _____________________

PART 3: Dual Enrollment School District Information

Our records show that this student has met all the requirements of the Post Secondary Enrollment Options Act of 1996. Further, this course is not available to this student in our school district. We will reimburse Kettering University the amount indicated for this course.

Authorized Signature__________________________________Title______________________Date__________ Total Amount________

School District Billing Address: Send this completed form to: Kettering University ______________________________________________ Office of the Registrar 1700 University Ave. ______________________________________________ Flint, MI 48504 ______________________________________________ fax: 810-762-9836 email: Registrar@kettering.edu ______________________________________________ (Kettering will send an invoice to the school 2-3 weeks before the course starts.)