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The Los Angeles Community College District allows students in grades K-12 to enroll as special part-time or full-time students if they meet admissions requirements and are deemed likely to benefit from instruction. Enrollment fees are waived for part-time students, while full-time students are required to pay fees, and students must follow college regulations. Parents are responsible for supervising their children outside of class, and students must arrange for high school credit for college courses taken.

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2 views

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The Los Angeles Community College District allows students in grades K-12 to enroll as special part-time or full-time students if they meet admissions requirements and are deemed likely to benefit from instruction. Enrollment fees are waived for part-time students, while full-time students are required to pay fees, and students must follow college regulations. Parents are responsible for supervising their children outside of class, and students must arrange for high school credit for college courses taken.

Uploaded by

saroyanromela21
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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LOS ANGELES COMMUNITY COLLEGE DISTRICT

SUPPLEMENTAL APPLICATION FOR ADMISSION OF STUDENTS IN GRADES K-12


ADMISSION: Colleges in the Los Angeles Community College District (“LACCD”) may admit as a special part-time or full-time student anyone who is a student in
grades K-12 who has met the LACCD’s admissions requirements and who, in the opinion of the College President (or designee), may benefit from instruction.
(Education Code sections 48800, 48800.5, 76001; LACCD Board Policy 5010.)

FEES: Enrollment fees are required for special full-time students (i.e., taking more than 11 units), but waived for special part-time students (i.e., taking 11 units or
less). (Education Code section 76300(f), LACCD Board Policy 5010.) Special part-time students are exempt from the nonresident tuition fee (Education Code
section 76140(a)(4), LACCD Board Policy 5010) The LACCD also charges a health fee (certain categories of students are exempt) and, where applicable, a student
representation fee. Students enrolled in CCAP programs are exempt from enrollment fees and will not be charged for textbooks, equipment, and materials.

CONDITIONS: The student is expected to follow regulations and procedures that apply to all college students. The student shall receive college credit for the
community college courses that the student completes. Arrangements for receiving high school credit for completed course work must be made with the student’s
high school. The student may only enroll in those courses listed on this form. This enrollment approval form must be presented when the student initially files an
application for admission to the college, and a separate approval must be provided for each semester or term in which the student wishes to enroll. The LACCD and
its colleges assume no responsibility for the supervision of minor students (i.e., students under 18 years of age) outside the classroom setting. Parents are
responsible for ensuring that their children are appropriately supervised before class begins, after class finishes, or when a class is cancelled and/or
dismissed early.

K-12 STUDENT INFORMATION


First Name: * Nvard Last Name: * Saroyan MI: Date Of Birth: * 04/07/2006

Address: * 6630 Whitsett Ave

City: * North Hollywood State: * California Zip: * 91606

Phone * (818) 802-3202 Email * [email protected] Student * 900799578


Number: Address: ID:
Student * 11  Age
Grade: * 18

High School: * Ulysses S Grant Senior High 

HIGH SCHOOL INFORMATION


Please add the first name, last name and school email address for your counselor.

First Name: * Lara Last Name: * Keehne School Email Address: * [email protected]

PARENT INFORMATION
First Name: * Romela Last Name: * Saroyan Email Address: * [email protected]

COLLEGE ENROLLMENT INFORMATION

Term: * Summer  Year: * 2024

College: Los Angeles Valley


College

Course Name Course Number Unit


Sociology 001 3.00
Course 1: TUTOR 001T 0.00
High School Official Only
Course 2: * COMM * 10025 * 3.00
Please enter any updates/corrections or comments:
Course 3:

Course 4:

Course 5:

Course 6:

Total Units 3 
Enrollment Status:
* -- Please Select -- 

STUDENT AUTHORIZATION
I am requesting approval to attend and I consent to enroll in the courses listed on this form. I understand I must meet all prerequisites before I
can enroll in these classes. I authorize the release of my transcript information to my school upon the school's written request.

...3136333937

05/22/2024
Student Signature Date

HIGH SCHOOL AUTHORIZATION


I have met and counseled the student and recommend the courses listed above to be taken for credit (for K-8 students, please enclose the
student’s transcripts and letter describing how, in your opinion, the student will be able to profit from instruction at a community college). If this
is a summer enrollment, I certify that there are no equivalent courses available at this school and that the total number of students referred
from this school to community colleges does not exceed 5% of this year’s graduating class

High School Official Signature Date

PARENT/GUARDIAN AUTHORIZATION
I authorize my son/daughter to enroll in a college level course in the Los Angeles Community College District (LACCD). I understand that my
child will not be afforded any special status or supervision as a result of his/her minor status while enrolled in the LACCD; I also understand
that I will not have access to my child’s student records (including grades and transcripts) without his/her written consent, his/her minor status
notwithstanding.

Parent Signature Date

COLLEGE APPROVAL
Approval * -- Please Select -- 
Decision:

Comments/Notes:

Officer Signature Date

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