Corvallis School District

Expanded Options Program Application

 

If you want to participate in the Expanded Options Program, complete this form and submit it by May 15 to one of the following:

·        Extended Learning Specialist in your school (Kathleen Muravez at Corvallis High School or Mukta Gupta at Crescent Valley High School)

·        The counseling office in your school.

 

Student Name:_____________________  Grade:_____ Address:______________________________________________

Home Phone:______________  Parent Name(s):____________________________ Parent’s Work Phone:_____________

Student E-mail:________________________ Parent(s) E-Mail:_________________________ High School:__________

Student Cell Phone: ____________________     Parent Cell Phone:  __________________________________________

 

1.      ____ I will be 16 when school starts in the fall. I will be enrolled at either Corvallis High School (CHS) or Crescent Valley High School (CVHS) while participating in this program.  

 

2.      ____ I understand that if student applications exceed the credits available, the district will eliminate incomplete applications and give priority to students “at risk” and to students in upper grades.

 

3.      ____ I understand that I will not be able to take courses similar to those offered at a district high school without applying for and receiving a waiver from the Coordinator of Alternative Education.

 

4.      ____ I understand that I may not exceed 7 credits per year when my high school credits and equivalent college credits are combined unless I apply for and receive a waiver from the Coordinator of Alternative Education.

 

5.      ____ I understand that my parent/guardian and I are responsible for transportation to and from the college class(es).

 

6.      ____ I understand that I will not be able to take courses for more than two academic years if I am a current sophomore OR one academic year if I am a current junior.

 

7.      ____ I did not participate in the Expanded Options program last year as a senior.  I have not received a high school diploma.

 

8.      ____ I am not a foreign exchange student.

 

9.      ____ I agree to work towards all state and district requirements for a high school diploma and/or counselor approved post-secondary educational plans.

 

10.    ____ To continue in Expanded Options, I will attend my college course(s) regularly and make adequate academic progress in these class(es).

 

11.    ____ I understand that eligible students will first need to be accepted by Linn Benton Community College, and LBCC has the right to deny access to any or all of the classes they offer.

 

12.    ____ I understand that the grades I earn in Linn Benton Community College classes will be posted on my transcript and used to calculate GPA, class standing, and valedictorian/salutatorian status.

 

13.    ____ I will follow all behavioral and academic expectations of Linn Benton Community College and all Expanded Options rules and guidelines identified by the state, district, and high school.

 

14.    ____ I understand that the Corvallis School District will not pay for unapproved courses.

 

15.    ____ I understand that textbooks provided to me as part of the Expanded Options program must be sold to the Linn Benton Community College book store during finals week of the term of enrollment.

 

16.    ____ I understand that, unless I am 18, I will need to show parent permission in writing to the school prior to enrolling in any post-secondary course.

 

17.    ____ I understand that I also have access to Advanced Placement classes and College Now classes to pursue my post-secondary goals and that the district must pay fees for these programs for at risk students. 

 

18.    ____ I authorize the school district to access my Expanded Options grade reports from the college or university.

 

19.    ____ I agree to review my progress in college classes with the Extended Learning Specialist in my high school every week during any term that I am enrolled in Expanded Options.

 

20.    ____ I understand the role of the extended learning specialist and the counselor in supporting and approving students in this program.

 

Please fill in the following information regarding the courses you are requesting for consideration.

 

General Course Categories (Above and Beyond High School Offerings)

Preferred Term if Class Is Available

(Fall, Winter, Spring)

Relationship of Course to Post-Secondary Goals

Estimated # of Credits

Counselor Initial

1st choice:

 

 

 

 

2nd choice:

 

 

 

 

3rd choice:

 

 

 

 

4th choice:

 

 

 

 

 

The counselor has explained to the student how the course fulfills graduation requirements and how much high school credit will be awarded for each course.

 

Student Signature_____________________________________              Date_____________

Counselor Approval___________________________________               Date_____________

I have verified that the student meets the district criteria of at risk:_______________________________

                                                                                                            Counselor Initials

Counselor Comments:

____________________________________________________________________________________________________________________________________________________________________________________________________

If you need a waiver to any of the above procedures, see the Extended Learning Specialist in your school for a form and attach it to this application.

 

Status of placement test: _____ _____   _____

UEF