Concurrent Enrollment Application Form

Policy Code: 
Adoption Date: 
Tuesday, November 21st, 1995
Review Date: 
Tuesday, November 17th, 2009

ICSD Concurrent Enrollment Application Form

Dear Student and Parent:

Concurrent enrollment is an excellent opportunity for serious students to accelerate their education.  Those students who have exhibited responsibility and academic maturity may be allowed to enroll in college courses while attending high school during their junior or senior years and receive credit at both institutions.

Courses taken under the Iron County School District's Concurrent Enrollment policy are collegiate level courses.  As such, the conditions relative to the course are significantly different from those associated with regular high school classes.  For example, college professors seldom, if ever, contact the home of a student who is having difficulty.  Additionally, students are responsible for their own attendance and behavior, each of which may be a factor in the grade received in the course. College instructors are not bound by any of the policies and practices of the Iron County School District or its schools.  Consequently, in some unfortunate instances, students begin a concurrent enrollment class and then have difficulty, which results in an unsatisfactory grade.  Should this occur, the grade and the credit are the direct responsibility of the student and the college.  If such an unfortunate incident should occur and the resultant loss of credit results in insufficient credit for high school graduation, the student would not be able to graduate from high school.  In other words, the student is responsible for the credit, or lack thereof, that may be earned through a concurrent enrollment program; the school has no obligation to help remediate failures in concurrent enrollment courses.  All financial obligations associated with the collegiate course are the responsibility of the student.  These obligations may include, but are not limited to such things as tuition, fees, texts, supplies, and transportation to and from the high school and the college.

For those students who are committed, concurrent enrollment is an exceptional opportunity.  To apply for the privilege of participating in such a program, complete the application form on the reverse side of this letter and return it to your school counselor or principal.  Good luck in all of your academic pursuits.






            Jennifer Wood

            Director of Secondary and Vocational Education



General Information:


Student's Name______________________________________ School__________________________________________


Street Address_______________________________________ Total Credits to Date______________________________


City________________________________________________ High School GPA _________________________________


Telephone No._______________________________________


Concurrent Course Information:


Concurrent Course Desired______________________________________________________________________________


Educational Institution__________________________________________________________________________________


Number of Credits to be Earned__________________________________________________________________________


Date Course Begins______________________________________ Date Course Ends_______________________________


Briefly explain the reason you desire to take this concurrent enrollment course:



Agreement and Signatures:

I agree to provide the school with a copy of the final grade or a transcript of the credit I earn in this concurrent enrollment course or program.  In addition, I agree to abide by the rules and regulations of the high school and the educational institution offering this course at all times while I am involved in this concurrent program.  I also accept responsibility for all costs associated with this course or program and transportation to and from the school.  I also understand and accept all conditions listed in the letter on the front of this form.


Student's Signature___________________________________________________ Date________________________


Parent/Guardian's Signature____________________________________________ Date________________________


School Official's Signature______________________________________________ Date_______________________ 



Non-Discrimination Statement

Iron County School District is committed to a policy of equal employment opportunity and does not discriminate in the terms, conditions, or privileges of employment on account of race, age, color, sex, national origin, physical or mental disability, or religion or otherwise as may be prohibited by federal and state law.

School District Office

Hours 8 a.m. - 5 p.m. Mon.- Fri.
2077 W. Royal Hunte Dr.
Cedar City, Utah 84720
PH 435.586.2804  FAX 435.586.2815