College Credit Plus Application 21-22

A College Credit Plus (CCP) student is a student currently enrolled in high-school that is non-degree seeking at Tiffin University. CCP students are not eligible to receive financial aid through Tiffin University.

First Name*

Middle Name

Last Name*

Birthdate*

What is your Social Security Number?

Country

Street

City

Region

Postal Code

Email Address*

Home Phone*

Cell Phone*

Sex*

Male

Female

Intersex

Parent Relationship Type *

Parent Prefix *

Parent First Name*

Parent Last Name*

Parent E-mail*

Parent Phone*

NOTE TO PARENTS: Primary Communication will be with your student, however, we ask for your information in the event we are not able to reach your student.

High School Information

Search for your High School*

Name of High School Guidance Counselor*

High School Guidance Counselor Phone Number

High School Counselor E-mail

High School Graduation Year *

Enrollment Information

Do you plan to attend? (check all that apply)*

Online Courses

Seated Courses at TU

CCP Courses at your High School (at select high schools only-check with your Guidance Counselor)

Are you an Ohio resident?*

Are you a repeat Tiffin University College Credit Plus student?*

Yes

No

If Yes, which course(s) have you taken?*

Do you have college credit(s) from another institution(s)?*

Yes

No

If Yes, Which Institution(s)?

College attended during High School 1:

College attended during High School 2:

College attended during High School 3:

Final Section

Do you possess the necessary social and emotional maturity to participate in the College Credit Plus program? *

Yes

No

Any student wishing to enroll in any college course under the College Credit Plus program must answer yes to this question. By answering NO the applicant understands that they will not be considered for admission into the CCP program at Tiffin University.

Are you ready to accept the responsibility and independence that a college classroom demands? *

Yes

No

Any student wishing to enroll in any college course under the College Credit Plus program must answer yes to this question. By answering NO the applicant understands that they will not be considered for admission into the CCP program at Tiffin University.

Have you ever been suspended or dismissed from school?*

Yes

No

Please note that you will be asked to provide a written statement explaining when and why you were suspended or dismissed, in detail, to be reviewed by the Admissions Committee with your application.

Have you ever been convicted of a felony?*

Yes

No

Please note that you will be asked to provide a written statement explaining the nature of your conviction as well as any supporting public documentation, in detail, to be reviewed by the Admissions Committee with your application.

APPROVALS

STUDENT: I certify that the above information is complete and that I have been counseled by my high school about this program. I also understand that continuation in this program is conditional upon my receiving a grade point average of 2.0 or higher in my TU course(s).

Electronic Signature*

THIS APPLICATION MUST BE COMPLETED BY NEW AND RETURNING CCP STUDENTS WHO WISH TO TAKE COURSES THROUGH TIFFIN UNIVERSITY FOR EACH ACADEMIC YEAR.

TRANSCRIPTS AND TEST SCORES CAN ALSO BE SENT TO:

Tiffin University

ATTN: CCP

155 Miami Street

Tiffin, Ohio 44883

(567) 268-6011

(419) 443-5009 fax