High School Concurent Enrollment Enrollment And Policy Form
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1time Students – Online Enrollment Application must be filled out! –
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ASU-BEEBE/HIGH SCHOOL CONCURRENT ENROLLMENT & POLICY FORM
Concurrent Enrollment Program Office-Kristine Penix-Phone: 501-882-8832 or 8809 Fax: 501-882-4412
P.O. Box 1000, Beebe, AR 72012
Email:
kapenix@asub.edu or dmlane@asub.edu
Fall
REQUIRED (Please Print)
Spring
STUDENT NAME: _______________________________________________________ Form required for each Semester:
Summer I
Summer II
HIGH SCHOOL: _________________
STUDENT SS#: ______________________
DOB: ____________
Other:
Students MUST have a READING SCORE of 19 ACT, 83 COMPASS, or 78 ACCUPLACER to take any general education
concurrent enrollment course.
LINE NUMBER
CLASS TIME
CLASS DAY(S)
COURSE TITLE
.
1
.
2
.
3
.
4
These Blocks for
High School Personnel ONLY
ONLY High School Personnel Entered
The above student is in good standing with our high
SCORES
school, has at least a 2.5 GPA, and is approved to
This student is approved to take the above
take the CEP classes listed above.
c
lass(es) Online:
(Yes or No)
ACT
COMPASS
ACCUP
High School Grad Year: _________
Student GPA: _________
ENG
Principal, Counselor, or High School Designee Signature
Date
MATH
______________________________________________
_________
RDNG
SCI
ACT
COMPASS
ACCUPLACER
Reading
19
83
78 or higher
COMP
English/Writing
19
80
83 or higher
Writeplacer 5
19 (On-campus 21)
42
42 or higher
Math
College Algebra requires a Reading score of 19 ACT, 83 COMPASS, or 78 ACCUPLACER AND 19 ACT, 50 COMPASS, or 42
ACCUPLACER in MATH.
English requires a Reading Score of 19 ACT, 83 COMPASS, 78 ACCUPLACER AND 19 ACT, 80 COMPASS, or 83
ACCPLACER in English/Writing.
Biology requires a Reading Score of 19 ACT, 83 COMPASS, OR 78 ACCUPLACER OR Freshman English I with a grade of C
or better.
(Please Read the Concurrent Student Handbook found at
or contact the Office of Concurrent Enrollment)
PLEASE READ THE FOLLOWING. BY SIGNING THIS FORM YOU AGREE TO EACH STATEMENT.
I, the undersigned student, understand in order to enroll in concurrent classes I must meet certain requirements set forth in the ASU-Beebe
Concurrent Student Handbook and ASU-Beebe catalog. I also understand that concurrently enrolled students are expected to meet the same
standards of achievement as the traditional student body at ASU-Beebe and that I will receive college credit for the course work after successful
completion of all course requirements as defined in the instructor’s syllabus.
I understand that payment of tuition is due at the time of registration. When taking classes at the High School Campus during high school hours
there is a difference between the regular tuition rate and the concurrent tuition rate. This difference will be considered an academic scholarship as
required by Act 1451 of 2009. Students will be sent an income report 1098T for income tax purposes (unless tuition is paid for by the high school).
I understand that the grade received from these classes will go on my college transcript and toward my college Grade Point Average (GPA).
With the Arkansas Department of Higher Education’s Course Transfer System (ACTS) students can view how general education courses transfer
from and to the various Arkansas public colleges and universities. Using this information, students, parents, and school personnel can select an
institution from the list provided and view how courses transfer. Some majors will have different requirements and/or may substitute courses for
their program. The Course Transfer System may be found at:
Most institutions require a C or better for transfer.
records, information, and my final grades to/from my parent(s) or legal
Furthermore, I authorize ASU-Beebe to release and receive needed
guardian(s) and authorized personnel at my high school.
Contact Number: __________________________
Email Address: ______________________________________
Do you the Parent/Guardian approve
your child for Online Classes:
Student’s Signature
Date
_____________
(Yes or No)
Parent/Legal Guardian Signature
Date
Revised 5/31/2016
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