High School Programs Registration
We are delighted you have chosen to take advantage of the Concurrent Enrollment - Site-Based option offered through your high school. This program allows you to earn Colorado State University-Pueblo (CSU-Pueblo) college credit for classes taken at your high school. What a great way to get a jump start on your higher education!
Your registration is not complete until all signatures are completed and this form is turned into your high school counselor or instructor.
Students are responsible for obtaining student, parent and high school counselor signatures.
Important Notes:
Attention student: Prior to adding, dropping or withdrawing from a class, you must see your school counselor, or other school official designated as the concurrent enrollment officer.
Attention student and parent/guardian: Your signature indicates that you wish the above named student to participate in the CSU-Pueblo Concurrent Enrollment Program and agree to the following:
- Advice and counsel regarding such participation has been received from the student's current high school.
- If the students fails to earn a C or better, or withdrawals from any courses after the semester drop date, the student and/or parent will be responsible to pay the tuition and fees associated with the course as well as any other charges incurred by the student that are not covered by the agreement between the school district and Colorado State University-Pueblo.
Student Permission to Release Academic Records
Under the terms of the Family Educational Rights and Privacy Act (FERPA), a student's educational record is, with certain exceptions, held confidential by Colorado State University-Pueblo. A student may grant permission for information to be provided to a third party by completing this consent form. Students enrolled through CSU-Pueblo Concurrent Enrollment must sign this form in order for parents to receive information about the student.
This release pertains ONLY to academically related education records, and may not be used for the purpose of releasing records related to employment, medical records, financial aid, student billing, tuition classification, disciplinary actions, or law enforcement. Any such requests must be directed to Student Employment Services, CSU-Pueblo Health Services, Financial Aid, Judicial Affairs, or Colorado State University-Pueblo Sheriff's Department as appropriate.
- In compliance with the Family Educational Rights and Privacy Act (FERPA) of 1974, the student gives permission to the Colorado State University-Pueblo to report absences, disciplinary issues, and the release of grades, transcripts, in progress grades, and class schedules, as available, to the above noted High School for the courses enrolled under the CSU-Pueblo Enrollment program.
- In compliance with the Family Educational Rights and Privacy Act (FERPA) of 1974, the student gives permission to Colorado State University-Pueblo to release any available academic records that the university maintains (e.g., grades, academic standing, academic advising, etc.) to the parent(s) or guardian(s) listed below. The student can revoke or amend this authorization at any time by written request and signature.
Parent or guardian name (please print) Date Parent or guardian name (please print) Date
Student (signature) Date Student (signature) Date
Signatures
I hereby certify that to the best of my knowledge the information furnished on this form is true and complete. I understand that if found to be otherwise, it is sufficient cause for rejection or dismissal. The signatures below certify that:
- I have read all material contained in this packet, and understand my rights and responsibilities with regard to registration, tuition, fees and the release of grades to the high school or school district.
- I will meet the same course expectations and prerequisites as college students, as noted in course catalog and/or syllabus.
- Course credits may transfer if I earn a C or better in a Guarantee transfer course, or accepted by post secondary institution.
- The grade received in this course will appear on my official high school and Colorado State University-Pueblo transcript.
- If I withdraw after the drop/add date, or earn a grade below a C from a CSU-Pueblo Concurrent Enrollment course I will be responsible for the tuition and fees associated with the course.
- I understand that course content maybe mature in nature.
Student Signature Date High School Counselor's Signature Date
Parent /Legal Guardian Signature Date High School Principal's Signature Date
College Academic Advisor Signature Date District Administrator's Signature Date
*Instructions for Counselors
Please ensure that all appropriate signatures are in place before submitting this form to CSU-Pueblo.
Reminder: Transcripts must be attached to this application for timely processing. ACT of Accuplacer scores must be provided for English 101 or 102, all Math and Chemistry classes