Fast Track to College by HC121109045618

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									                             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                   (officially withdrawn from high school)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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