Blank Receipt Form for Medical by cjz17599

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									                                                    MONROE COUNTY COMMUNITY COLLEGE
                                                           Course Articulation Agreement Form

Program/Academic Area:                                                                       HEALTH SCIENCES
MCCC Committee:                                   Bonnie Welniak                               Cynthia Roman, Dean                                                 Paul Knollman, T.P. Coord.


Partner High School:

High School Contact:                                           Name
                                                              Address

                                                               Phone

                                                               E-mail

                               MCCC COURSE(S)                                                                                                             CIP
                                                                                                           HIGH SCHOOL COURSE(S)                                       AGREEMENT DATE
          NUMBER                CIP/Pathway                    NAME                  Cr Hrs.                                                            Pathway

SAMP 101                                          SAMPLE COURSE                         3                     HS SAMPLE COURSE                                         Tuesday, June 01, 2010



HLTSC 110                                         MEDICAL TERMINOLOGY                   2

                     A copy of the MCCC Course OUTLINE OF INSTRUCTION is available at www.monroeccc.edu/outlines/index for each of the courses listed above.

This agreement will be valid and in-effect (for CDP - Tech Prep Grant Purposes) for 3 years from the date of signing. Both the High School Partner and MCCC agree that if major curricular
changes take place which would impact this agreement, modifications may be made.
ARTICULATION AGREEMENT GUIDELINES


                                                  Once a student has completed appropriate coursework at his/her high school he/she may sign-up to complete the course competency (Tech
              1
                                                  Prep) test matching the course. This test will be developed by the MCCC faculty, maintained at the high school by the Tech Prep
                                                  Contact/Counselor, and administered by the appropriate high school teacher.

              2                                   If the student passes the test with a grade of C or better, the student must complete a College Application for Admission and follow all
                                                  "standard" procedures, and meet all requirements for admission to the College. These will be found in the College Catalog.
                                                  The High School teacher and/or High School Administrator must verify with signatures that they recommend that the student receive
              3                                   articulated credit for the course identified. The signatures will be found on the Articulated Credit/Tech Prep Credit Verification Form
                                                  which must be submitted for each course for which a student wishes to receive college credit. Additional information may be obtained at
                                                  www.monroeccc.edu/techprep

              4                                   To satisfy Tech Prep grant requirements, requested credit for Articulated coursework must be in a state approved secondary Career and
                                                  Technical Education program. If this proposal is not intended to apply to the receipt of Tech Prep Grant funds, it can be accepted as written.

              5                                   Articulated credit for Tech Prep courses will be indicated an a transcript/record maintained by the College which will include course number,
                                                  title and credit hours.
              6                                   There are no fees, costs, or tuition charged to the student for Tech Prep articulated coursework.

ENDORSEMENTS:

SIGNATURE OF HIGH SCHOOL REPRESENTATIVE: (or Electronic Signature/Entry)                                                     DATE:



PRINTED NAME OF HIGH SCHOOL REPRESENTATIVE:



SIGNATURE OF APPROPRIATE DIVISION DEAN                                                                                       DATE:



PRINTED NAME OF DIVISION DEAN



SIGNATURE OF COLLEGE TECH PREP COORDINATOR:                                                                                  DATE:




PRINTED NAME OF COLLEGE TECH PREP COORDINATOR:

Paul Knollman, Dean of Business/Tech Prep Coordinator




        1/7/2011

								
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