SU/FALL 2013 HIGH SCHOOL STUDENT CHECKLIST

IMPORTANT :

Always identify yourself as a high school student when contacting the Counseling Department.

Check off each item as you read/complete it:

1.

Discuss taking college courses with your high school counselor and determine specific course(s) to take. 2. Meet minimum eligibility requirements*: Complete the 10th grade Have at least a 2.5 cumulative high school GPA (9-12 grade) * Ineligible students should download the flyer How to Appeal available on the High School
Partnership Web page at www.chaffey.edu.

3.

Submit an application for Chaffey College and receive two email notifications. Go to www.chaffey.edu and click on application on left hand side and follow instructions. Note: If you have previously applied and have received a Chaffey Student ID number, it is not necessary to apply again. Returning high school students are not required to re-apply, but they must submit all required documents found in the student Registration Packet online prior to registering for classes. 4. Contact the Counseling Department at (909) 652-6200 to sign up for the following services in the order listed: a) Assessment Testing (must be completed before attending a High School Counseling Group) b) High School Counseling Group (must be completed after Assessment Testing) 5. Read and review the contents of the High School Registration Packet and submit the following high school documents to the Admissions and Records Office. Up-to-date official high school transcript in a sealed envelope High School Certification form completed by your high school principal, counselor, or designee Parental Advisory and Liability Waiver 6. After completing Assessment, Orientation and Counseling and submitting the required forms to the Admissions and Records Office, you may register for approved classes on or after your registration date: All high school students must register in person and the maximum allowable course load for high school students is 8.0 units. High school students may not register for 500 level courses (i.e. ENGL-500, ENGL-550, READ-550, etc.) During the Late Registration Period, all open and closed classes require instructor consent to add. If the instructor gives you an add code, you must bring it to the Admissions Office for processing. Fees are due at the time of registration. The Admissions Office will verify that course registration matches those classes previously approved by the high school designee on the High School Certification Form. All high school students must meet course pre-requisites and co-requisites as specified in the Schedule of Classes (go to http://www.chaffey.edu/counseling/prereqs.shtml for more information about prerequisites/co-requisite requirements.) 7. It is mandatory for high school students to attend the first day of each class for which they plan to register. SUBMIT ALL DOCUMENTS TO THE ADMISSIONS OFFICE IN RANCHO, CHINO, OR FONTANA by: Summer Monday, May 13, 2013 Fall Wednesday, July 24, 2013 Note: All high school appeals are due on the dates indicated above.

Welcome to Chaffey College!

The California Community College is open to all individuals 18 years or older OR high school graduates, regardless of age. There is an elementary/middle/high school educational system in place to respond to the needs of minors pursuing educational goals, and the community college offers opportunities to students seeking enrichment and/or vocational experience not available at these institutions. Eligibility to participate in this opportunity is determined by the community college and may not disenfranchise regular college students. This is important information every High School Partnership participant should know: Registration All high school students must register in person at the Admissions Office at the Rancho, Chino or Fontana Campus. Refer to the CURRENT Schedule of Classes for locations and hours of operation. High school students may not register for 500 level courses (i.e. ENGL-500, ENGL-550, READ-550, etc.) After officially enrolling in classes, a student can make changes to their schedule by adding and/or dropping. High school students must adhere to all established deadline dates. All classes have Last Day to Add, Last Day to Drop and Last Day to Drop with a Refund deadlines. Last Day to Add deadlines can be found in the Schedule of Classes and Last Day to Drop deadlines can be found on your Registration Receipt, available on MyChaffeyVIEW. Payment of Fees Prior to the start of the term, fees must be paid by the date indicated on the current Payment Chart, which can be found in the Schedule of Classes. If payment is not received, you will be dropped. Once the term begins, payment is required at the time of registration. If payment is not received, a financial hold will be placed on your student record. Wait Lists High school students who want to wait list for a class that is full, must do so in person . Wait listing begins once a class is closed. High school students will need to have a current email on file in order to wait list. Please review the Wait List information in the Schedule of Classes. Late Registration During the Late Registration Period, all open and closed classes require instructor consent to add. If the instructor gives you an Add Code, you must bring it to the Admissions Office for processing before the Last Day to Add. Fees are due at the time of registration. First Date of Attendance High school students must be in attendance on the first day of instruction for each class enrolled. Pre-Requisite Requirements When a course has a pre-requisite requirement, it means that a student must possess a certain amount of pre-existing knowledge to be successful in the course. If the class you are registering for has a pre-requisite requirement, go to the Counseling Department located in Student Services to complete a Pre-Requisite Validation Request. The pre-requisite requirement must be cleared by the Counseling Department prior to registration. All students must clear pre-requisite and co-requisite requirements on or before the Last Day to Add the class in question. My ChaffeyVIEW High school students are not eligible to register, add or drop online. However, high school students may use other functions available on MyChaffeyVIEW, such as paying fees, printing a registration receipt, ordering transcripts, etc. Deadlines There are deadlines for most admission and registration related functions (i.e. adding, dropping, refunds, petitions, etc.) that are processed in the Admissions Office. It is your responsibility to read the calendar located on Page One of the Schedule of Classes to ensure that you meet these deadlines. Deadline dates can also be found on your registration receipt. If you have any questions related to admissions, registration, fees, ordering transcripts, etc., e-mail us at admissions@chaffey.edu for assistance.
Rev 2/28/13

HIGH SCHOOL CERTIFICATION FORM

STUDENT NAME: CHAFFEY ID#: TERM/YR: ***FORM MUST BE SUBMITTED ALONG WITH AN OFFICIAL HIGH SCHOOL TRANSCRIPT IN A SEALED ENVELOPE***

CHAFFEY COLLEGE

PART A
RECOMMENDATION AND CERTIFICATION: Part A must be completed by the High School Principal, Counselor, or Designee. ELIGIBILITY: Student must be completed with 10th grade and have an overall grade point average of 2.50 or better. It is the students responsibility to contact the Admissions and Records Office for assistance, if he/she does not meet the eligibility requirements.

High school students may register for a maximum of 8.0 units per term. Remedial (500 series) classes are not allowed. * See current Schedule of Classes for specific course information In person registration is required.
COURSE TITLE & NUMBER

RECOMMENDED COURSES* UNITS COURSE TITLE & NUMBER

ALTERNATE COURSES*
UNITS COURSE TITLE & NUMBER UNITS COURSE TITLE & NUMBER UNITS

As Principal or Designee: Pursuant to Education Code 48800, I have reviewed the academic record of the above-named student and certify that the student demonstrates adequate preparation in the course(s) listed. I certify that I am limiting the number of recommendations to no more than five percent of the total number of pupils who completed the grade immediately prior to the time of the recommendation for summer session.

Signature of Principal or Designee High School Name (Please Print)

Date City and State

Print Name of Principal or Designee ( ) School Telephone Number

PART B
STUDENT ACKNOWLEDGEMENT: Part B is to be completed by the student. I understand that participation in this special enrollment program provides me with an opportunity to enroll in college courses and to access programs and services available to all Chaffey College students. I further understand that I am responsible for knowing and following all college policies and procedures related to academic performance and student behavior as outlined in the Schedule of Classes and the College Catalog. I DECLARE UNDER PENALTY OF PERJURY THAT THE STATEMENTS SUBMITTED BY ME ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. All materials submitted by me for purposes of admission become the property of Chaffey College. I understand that willful omission or falsification of information, or failure to report changes in residence may result in my dismissal from Chaffey College and the loss of units earned as a result of such omission or falsification.
Students Legal Signature Students Address Date City/State Birth Date Zip Code

NOTICE TO PARENTS

You must sign the Parental Advisory and Waiver of Liability Forms authorizing your son/daughter to be concurrently enrolled at Chaffey College. The Parental Advisory and Waiver of Liability Forms are included in the high school registration packet and must be returned with all required documents to the Admissions and Records Office in Rancho, Chino, or Fontana.

(Rev.03/28/12)

PARENTAL ADVISORY FORM

STUDENT NAME: BIRTH DATE: CHAFFEY ID#

CHAFFEY COLLEGE

General Information: Course Credit - Courses taken at Chaffey will be recorded on the students permanent record at Chaffey College as college credit. Registration - Registration is based on a priority system for continuing college students. Enrollment into desired courses is not guaranteed. Confidentiality of Student Information - Release of student information is not permitted to anyone, including parents or legal guardians (Ed Code 76243) without written permission from the student. The Release of Information (Proxy) Form is available in the Admissions and Records Office and on our website at www.chaffey.edu. Emergency Contacts - If there is an emergency requiring immediate medical attention, and a parent or legal guardian cannot be contacted, Chaffey College Student Health Services is authorized to take whatever steps are needed to protect the health of the student. In the event of accident or sudden illness, Chaffey College will refer to the emergency contact information below. EMERGENCY CONTACT INFORMATION (Please Print) Mother: Father: Alternate Contact/Relationship: Phone: ( Phone: ( Phone: ( ) ) )

Additional Parental and Student Information Supervision of Minors - The Chaffey College district assumes no responsibility for the supervision of minor students outside of the classroom setting. Parents are responsible for providing transportation and ensuring that their children are appropriately supervised before and after class, and if or when a class is canceled or dismissed at an early time. Attendance is required, but not monitored, as it is in secondary school systems. Chaffey will not call parent or guardian if a student is absent, nor will we verify attendance. Students are expected to meet all deadlines for adding/dropping, refunds, petitioning, etc. It is the students responsibility to know college policies and procedures. Most college deadline dates are posted in the Schedule of Classes. Course Content/Material - A college is an adult environment with minimal student supervision. Discussion topics and course materials are generally designed for adult students and may not be appropriate for younger students. Internet Usage - Many courses require computer lab work or research projects that could involve the Internet. Chaffeys computer network provides access to the Internet in classrooms, labs, and the library. The College does not block access to specific Internet sites. As a result, it is possible for your son/daughter to reach an Internet site that you may feel contains inappropriate material. Your signature on this document certifies your awareness of the learning environment issues as stated above; that you have reviewed and assessed your son/daughters ability to succeed i n the classes recommended by the high school; and that he/she has your approval to enroll in Chaffey College courses.

Signature of Parent/Legal Guardian

Date:

Rev 2/28/13

WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT

Participants Name: Chaffey Community College District Name of Class or Activity: Attendance and Participation in Chaffey College Class(es) Waiver: In consideration of being permitted to participate in any way in Class(es) for Summer, Fall, or Spring
(Description of Activity/Dates)

Chaffey College

Hereinafter called the Activity, I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue the Chaffey Community College District, its officers, employees, and agents from liability from any and all claims including the negligence of the Chaffey Community College District, its officers, employees and agents, resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in the Activity. Assumption of Risks: Participation in the Activity carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary from one activity to another, but the risks range from 1) minor injuries such as scratches, bruises, and sprains 2) major injuries such as eye injury or loss of sight, joint or back injuries, heart attacks, and concussions to 3) catastrophic injuries including paralysis and death. Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD CHAFFEY COMMUNITY COLLEGE DISTRICT HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorneys fees brought as a result of my involvement in the Activity and to reimburse them for any such expenses incurred. Severability: The undersigned further expressly agrees that the foregoing waiver and assumption of risks agreement is intended to be as broad and inclusive as is permitted by the law of the State of California including Education Code Section 72640 and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. Acknowledgment of Understanding: I have read all previous paragraphs, including the waiver of liability, assumption of risk, and indemnity agreement, know, fully understand its terms, acknowledge these and other risks that are inherent to the Activity, and understand that I am giving up substantial rights, including my right to sue. I acknowledge my participation is voluntary, that I knowingly assume all such risks, ant that I am signing the agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the extent allowed by law. In the event of any illness or injury, I give full authority to the district staff to obtain such medical treatment and/or surgery from a licensed physician/surgeon, paramedic or hospital as deemed necessary for the welfare of my child. I acknowledge that I fully and completely understand the potential risks that may be associated with this Activity and that my childs participation is strictly voluntary.
Participants Date of Birth (if minor) Signature of Participant Parent or Legal Guardian Signature Please Print Parent or Legal Guardian Name Name of Health Insurance Company Medical Problems/ Necessary Medications Check one: _____None _____Yes, Please Explain: Date Date ( ) Day Phone: Area Code and Number ( ) Night Phone: Area Code and Number Policy/Group Number

Rev 2/28/13

PHOTO ID SERVICES
Photo ID cards are required for use of labs, library, and other services. To avoid standing in long lines once instruction begins, students are encouraged to get their photo ID card as soon as they register and pay for classes. Photo ID cards are issued in the Admissions and Records Office at Rancho, Chino and Fontana. Photo session is single-take only. Services may be limited the week before the first day of instruction and during the first week of school. Students may request a photo ID at the Rancho campus during the following hours: Monday and Thursday, 8:00 a.m. to 6:45 p.m. Tuesday and Wednesday, 8:00 a.m. to 4:15 p.m. Friday, 8:00 a.m. to 1:45 p.m. For services at the Chino or Fontana campus, please refer to the schedule of classes.

HOW TO OBTAIN A PHOTO ID CARD A student will need to provide one of the following forms of identification when requesting a photo ID card: Government-issued photo ID: Drivers License, State ID, High School ID, or Military ID Passport Other valid photo ID (subject to approval)

PHOTO ID RE-PRINTS POLICY Photo ID Re-prints are available on Thursday, at no charge to student. There is an $8.00 fee for RUSH requests. RUSH requests are available during regular photo ID service hours on Monday, Tuesday, Wednesday, and Friday. To request a re-print, the student must provide a second photo ID (i.e. Drivers License, Passport, State ID Card, etc.) for verification purposes. NO EXCEPTIONS!

(Rev. 03/01/13)

IN-DISTRICT AND OUT-OF-DISTRICT FEES

Enrollment, health, and college service fees are waived for high school students who reside in and/or attend a school within the Chaffey College District. Other fees such as materials fees, books, and parking must be paid by the student. Note: Prior to the start of the term, fees must be paid by the date indicated on the Payment Chart in the Schedule of Classes. If payment is not received, the student will be dropped. Once the term begins, payment is required at the time of registration. If payment is not received, a financial hold will be placed on the students record. High school students who reside in California but outside of the Chaffey College District must pay all fees. High school students classified as non-residents of California (for tuition purposes) and/or the United States must also pay out-ofstate tuition fees.

Rev 3/01/13

ADMISSIONS AND RECORDS OFFICE APPROVAL FOR CHANGE OF RECOMMENDED COURSES

Term/Year: Summer Fall Spring 20

Student Name: HIGH SCHOOL PRINCIPALS RECOMMENDATION AND CERTIFICATION

Chaffey ID Number:

All information must be completed by the Principal or Designee before Chaffey College can accept this form. Incomplete forms will cause delays in processing.

This student has permission to take one or more of the following courses in addition to, or in place of, courses previously approved. The student understands that a maximum of 8.0 units is allowed. COURSE TITLE COURSE NUMBER NUMBER OF UNITS

Print Name of Principal or Designee High School Name City and State

Signature of Principal or Designee

Date

Area Code

Telephone Number
Rev. 03/01/13

HIGH SCHOOL PARTNERSHIP PROGRAM APPEALS PROCESS

If a student does not meet the minimum eligibility requirements, he/she may submit a High School Appeals Petition for Committee review. The student must follow all instructions and provide all required information as stated on the petition form. A separate petition must be submitted for each term in which the student does not meet the minimum eligibility requirements. See the information box below for deadline information. Who is eligible to appeal? th th High School students currently enrolled in 9 through 12 grade. For what exceptions can a high school student appeal? Special admissions approval th th o Student is currently in 9 or 10 grade o Students overall grade point average is below 2.50 Permission to register for up to 11.0 units. Permission to register for 12.0 units or more. If approved, the student is responsible to pay for all fees associated with registration, including enrollment fees, for all units.
Important Notice: The benefits and consequences of taking college courses fall upon the student. As such the student, not the parent, must complete the application and appeals process. The student must assume full responsibility for the decision to participate.

A student may submit a high school appeals petition form to the Admissions and Records Office in Rancho, Chino, or Fontana after he/she completes the following requirements:
Apply for admissions online Submit the completed High School Certification & Parental Advisory and Waiver of Liability Forms Submit a current official high school transcript in a sealed envelope Complete Assessment, Orientation, and Counseling (Required even for Activity Only Classes)

The student must obtain and attach the following documentation to the high school appeals petition form:
Typed-written statement from the student explaining why he/she wants to attend Chaffey College, reason(s) for requesting an exception, and why an exception should be granted. (The Committee will not accept handwritten statements.) 2. Copy of the students Chaffey College assessment results. 3. A letter of recommendation on school letterhead from the High School Principal, Counselor, or other designee verifying the following: a. Student has demonstrated academic strength and the ability to be successful in college b. Student is mature enough to assume full responsibility as a college student. 1.
A student may submit a high school appeals petition in the Admissions and Records Office in Rancho, Chino, or Fontana, after clearing all admissions and counseling requirements. The appeals form must have the required documentation attached. The appeals form can be found in the High School Registration Packet.

TERM Summer 2013 Fall 2013

TERM BEGIN & END DATES June 3 July 25 August 14 December 18

APPEAL BEGIN DATE Monday, April 1, 2013 Monday, April 1, 2013

APPEAL DEADLINE Monday, May 13, 2013 Wednesday, July 24, 2013

NOTE: The Appeals Committee will not accept appeal forms past the deadline. No Exceptions!

Rev. 03/01/13