CHANGE OF RECOMMENDED DUAL ENROLLMENT COURSES

You must have a previously approved and processed Dual Enrollment Agreement Form on file and your 7-digit Chaffey College ID# to submit this form.

  • Please note that sections with a red asterisk (*) must be completed to submit the form.
Term/Year for which you are planning to take the requested course(s)*
Your current high school

In order for this Change Form to be approved Chaffey College must have received and processed a previously uploaded current Private School Affidavit and a Transcript, signed and dated by the Director or Principal Officer. This step would have been completed using the Dual Enrollment Agreement form. Your Director or Principal Officer will be required to digitally sign and type their name below in order to approve the change of courses listed on this form.

Director/Principal Officer: Please type your name below if you approve this student to enroll in the courses listed on this course change form*
Date/Time*
:  
You indicated that you attend Chino Valley Unified School District. Please indicate which school you attend below.
This is provided 72 hours after applying to Chaffey College. It is a 7 digit number starting with 0. Do not include initials or a CCC ID#.
Student's Name*
Date of Birth*
Do not use e-mails provided by schools

PROPOSED COURSE CHANGES OR ADDITIONAL COURSES

Use your mouse or finger to draw your signature above
DATE*

DESIGNEE APPROVAL FOR CHANGE OF RECOMMENDED COURSES

HIGH SCHOOL DESIGNEE’S RECOMMENDATION AND CERTIFICATION

The Principal or Designee must approve the changes or additions to the previously approved dual enrollment courses for this student before Chaffey College can accept this form. This student has permission to take one or more of the following courses in addition to, or in place of, courses previously approved. The student may register for up to 11 units in the fall or spring and six (6) units in the summer.

Do you recommend the student be permitted to take the college level degree applicable courses indicated previously?*
I do not recommend the student be permitted due to:*
Were any of the recommended courses changed/updated by you the High School Counselor/Designee?*
Did you make sure to inform the student/parent of the changes/updates?*
By typing my full name below I affirm the accuracy of the information given in this agreement and provide my electronic designee signature verification.*
Authorized School Designee Declaration Date:*
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