Request edit access
HSD Early College Credit Tuition Waiver Application (for BMCC, Lane CC and Mt Hood CC)
Email address *
First Name *
Your answer
Last Name *
Your answer
High School Student Number *
Your answer
College ID Number (If Known)
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Are you currently on track for graduation? *
What is your post-secondary plan? What are you doing after high school graduation ? *
What post-secondary certification/degree are you working towards? *
Specifically, how will this course apply to your Personal Education Plan (AAOT, OTM, Career Certification)? Describe what career requirements this course will meet. *
Your answer
What year in school are you? Remember that no freshmen will be approved - sophomores by ADMIN approval only. *
Family Financial Information: One of the considerations for the qualified tuition waver is a family's ability to pay. Does your family qualify for free and reduced lunch? Remember that if your family is not on Free and Reduced Lunch, you will NOT be approved. Tuition Waiver For those students with a qualified tuition waiver, Hermiston School District may cover the cost of tuition* and books** for eligible courses that are part of the student’s approved personalized education plan. Approved courses are those that are applicable toward an AAOT, OTM, or career certification and are taken during the student’s junior and senior year. Qualified students must be enrolled full time and on-track to graduate. Sophomores may be eligible for a qualified tuition waiver, however they must show that courses support their personalized education plan and receive pre-approval from administration before registration.*Hermiston School District will pay the institutions directly after completion (C or better) of each course. In the case of a student earning a D or F, they will be responsible for tuition charges.**Hermiston School District will provide required books for qualifying students. These materials will remain the property of the school district. *
Are you a member of any of the following clubs? Check all that apply *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Hermiston School District. Report Abuse - Terms of Service - Additional Terms