CC+ Intent Contract 2021-2022
This form is the Centerville City School District's student intent form. This form must be filled out for students wishing to participate in College Credit Plus (CC+). This intent form must be completed annually for those students wishing to continue in the CC+ program. Please read the information carefully so that both the student and parents understand the information related to the CC+ program. The College Credit Plus Intent Contracts needs to be submitted electronically, the contract must be time stampeded by April 1st in order to participate in this program. If a student fills out the Intent Contract, they are not compelled to take CC+ courses. If you have any additional questions, please contact our Unit Counselor. My advice is to have this form filled out PRIOR to Spring Break.
(Parents, please put your email address below to begin this process)
* Required
Email address
*
Your email
Student's Last Name:
*
Your answer
Student's First Name:
*
Your answer
Student ID #:
*
Your answer
Grade Level (for the upcoming school year)
*
Choose
7th
8th
9th
10th
11th
12th
Student's Unit:
*
Choose
Central
East
South
West
Magsig
Tower Heights
Watts
SOP
Other
Counselor's Name:
*
Choose
Mr. Delatore (Central & Career Tech)
Mrs. Leiker (East Unit)
Mrs. Stingley (East Unit)
Mrs. Fleishman (South Unit)
Mrs. Buck (South Unit)
Mrs. McCrory (West Unit)
Mrs. Miller (West Unit)
Watts MS (will still be in 7-8 grade student for the upcoming school year)
Magsig MS (will still be in 7-8 grade student for the upcoming school year)
Tower H MS (will still be in 7-8 grade student for the upcoming school year)
Other
Advisor's Name and Unit
*
Your answer
Student's Email Address:
*
Your answer
Next
Page 1 of 5
Never submit passwords through Google Forms.
This form was created inside of Centerville City Schools.
Report Abuse
Forms