Fast Track to College (officially withdrawn from high school) Ivy Tech Community College – Central Indiana Application for Admission Name of Applicant Name of Principal Name of Guidance Counselor Counselor Contact Information Phone number Fax number E-mail Address Processing of this application will not be complete without the following signatures and high school transcript. To be signed by the applicant: I understand all of the options available to me under the Fast Track to College program. I give Ivy Tech Community College permissions to release any/all portion of my confidential educational records, including my transcript, in the Fast Track to College Program to my parents or legal guardian, and the state superintendent of public instruction. I am aware that I am financially responsible for tuition, books, materials, fees, and supplies. Person(s) receiving permission: 1. 2. 3. Applicant Signature Date To be signed by the Parent or Legal Guardian: I understand all of the options and ramifications involved in the participation in this program. I have been counseled by the Fast Track to College coordinator as to the risks and advantages of this program. I understand that the applicant is financially responsible for tuition, books, materials, fees, and supplies. Parent/Guardian Signature Date To be signed by the Guidance Counselor: I have advised this student and his or her parents or legal guardian of all available options and ramifications involved in the Fast Track to College program. I have provided the student with an official copy of his/her high school transcript indicating the student’s official withdrawal date from this institution and his/her successful completion of the freshman and sophomore academic years with 20-25 credits. Counselor’s Signature Date Before you submit this: 1. Review your application to make sure it is complete. 2. Obtain your official high school transcript – with official withdrawal date – in a sealed envelop. 3. Contact the Fast Track Coordinator – Cyndi Stout – to request your assessment packet (if you do not have ACT or SAT scores to waive assessment) and schedule your admission appointment.
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