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2019-2020 Berea City School District College Credit Plus Intent Form
Each year, all students interested in participating in College Credit Plus (CCP), MUST complete a CCP Intent Form to participate in the 2019 -2020 school year.

Completing the INTENT FORM is an annual requirement for all students returning to the program and new to the program. This program is for eligible students enrolled in grades 7-12 for the 2019 -2020 school year.

Please complete this BCSD College Credit Plus (CCP) Intent form for the 2019-2020 school year by April 1st, 2010. It is recommended that you turn this form in as soon as possible.

This form will close on April 1st. Keep in mind, in order to take a college placement test, you must have this form completed prior to taking each respective college placement tests for Tri-C or LCCC.

District Site Testing will occur on the following dates for each building listed:

BMHS - February 1st, 2019.


For more information about the College Credit Plus visit the district's website at http://www.berea.k12.oh.us/Page/1079 and/or contact your counselor with questions.

Email address *
1. Student ID number *
Your answer
2. School *
Select your current school of enrollment.
3. Student Last Name *
Your answer
4. Student First Name *
Your answer
5. Parent/Guardian Last Name *
Your answer
6. Parent/Guardian First Name *
Your answer
7. Parent/Guardian Phone Number *
XXX-XXX-XXXX
Your answer
8. Select your 2019-2020 grade below. *
This is asking for next year's (2019-2020) grade level.
9. I understand that this Intent to Participate Form is to inform the Berea City School District’s Board of Education that the above-named student intends to participate in the College Credit Plus Program during the 2019-2020 academic school year. *
10. This is the first year I have applied for College Credit Plus. *
11. I understand that this form must be electronically submitted by 11:59 pm on Monday, April 1st. *
NOTE: You will receive a confirmation of your form submission in the email that you provided.
College Credit Plus - Student Statement of Intent and HS Counseling Session
By signing this form I/We understand that if the participating student fails the course, receives an incomplete grade for the course, or drops the course, I/we will be responsible for payment of the tuition, books, and fees for the failed, incomplete, or dropped course.
12. Finally, I understand that this online form must be completed and digitally signed by April 1st. *
For students interested in testing at BMHS or MHJH campuses, he/she must complete the form by February 1 to test at their school of attendance.
13. Student's EMAIL address *
Enter your bereaschools.org email address below.
Your answer
14. Parent's/Guardian's EMAIL address *
Enter the Parent's/Guardian's email address below.
Your answer
15. School Counselor *
DIGITAL SIGNATURES
I (student) and parent/guardian have agreed to submit this application by electronic means. By signing this application electronically, I certify under penalty of perjury and false swearing that my answers are correct and complete to the best of my knowledge.
Student Digital Signature *
First and Last Name
Your answer
Parent Digital Signature *
First and Last Name
Your answer
A copy of your responses will be emailed to the address you provided.
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