Early College Application

Early College Application Early College is an opportunity for High School students to earn college credit. Details inside this packet. www.mtc.edu/earlycollege earlycollege@mtc.edu

MARION TECHNICAL COLLEGE EARLY COLLEGE PROGRAM Program Descriptions with Reuirements All students interested in participating in Early College programs must meet the notification reuirements set by the high school (usually March 30) and all MTC application deadlines. Post-Secondary Enrollment Options The Post-Secondary Enrollment Options (PSEO) program is designed to allow ualified high school students the opportunity to earn college credit through successful completion of courses. PSEO Option B: Qualified students receive college tuition, fees, and reuired textbooks paid at public expense and attend classes during traditional academic year on the college campus or at specified high school locations. PSEO Option A (Concurrent Enrollment): Qualified students pay college tuition, fees and reuired textbook costs and attend classes any term, including summer. Concurrent Grant may assist with tuition. Academic Reuirements COMPASS/ASSEST placement test or ACT scores indicating readiness for college-level courses as indicated in MTC course placement policy. High School Grade-Point Average Seniors: minimum 2.5 high school GPA (4.0 scale) Juniors: 2.75 high school GPA (4.0 scale) Freshmen/Sophomores: minimum 3.5 high school GPA (4.0 scale) with a letter of recommendation Dual Enrollment Dual enrollment is a program outside of PSEO legislation. Dual enrollment is earned at designated partnership high schools with ualified faculty teaching the courses. Courses are taught during regular high school hours and on the same schedule as the high school. Approved courses meet the same rigor as a course offered in a traditional college setting. Credits earned are documented on high school and college transcripts. Academic Reuirements Complete placement tests (COMPASS/ASSET) or submit ACT - must score at level reuired for the course(s). High School Grade-Point Average Seniors/Juniors: minimum 2.5 high school GPA (4.0 scale) Seniors to Sophomores Seniors to Sophomores is a program outside of PSEO legislation. The program enrolls ualified high school seniors in MTC courses on MTC s campus full time. Students who participate in Seniors to Sophomores have the opportunity to earn a year s worth of both high school and college credit at no cost to the student. MTC enters into a partnership agreement with a school district to offer the Seniors to Sophomores program. Academic Reuirements COMPASS/ASSEST placement test or ACT scores indicating readiness for college-level courses as indicated in MTC course placement policy. Seniors: C or better in Algebra II C or better in 3 years of high school English Pass all parts of the OGT Exception may be granted for the above criteria based on appropriate standardized test scores and high school recommendation. EarlyCollegeDescriptions rev Dec 10 2012 www.mtc.edu/earlycollege Contact your high school guidance counselor or the Director of Early College at MTC (740.389.4636 earlycollege@mtc.edu) for more information about these programs.

MARION TECHNICAL COLLEGE EARLY COLLEGE APPLICATION FOR ADMISSION FIRST NAME MIDDLE LAST NAME DATE OF BIRTH GENDER SOCIAL SECURITY NUMBER MAILING ADDRESS CITY M F STATE ZIP CODE COUNTY HOME PHONE CELL PHONE OTHER PHONE ( ) ( ) ( ) E-mail Address How long have you lived in Ohio? YEARS MONTHS United States citizen? Yes No If no, country of citizenship: Immigration Naturalization Service classification Permanent Resident Refugee Other Ethnicity is reuested for state and federal reporting purposes only, and has no bearing on Marion Technical College admission procedures. Marion Technical College provides eual opportunities regardless of race, color, national origin, sex, disability, age, military status, or sexual orientation. ETHNICITY (select one of the following) Hispanic Only Non-Hispanic Only Hispanic of any race American Indian/Alaska Native Native Hawaiian/other Pacific Islander Asian Caucasian/White Black/African American Two or More Races ENROLLMENT INFORMATION What term and year do you plan to enroll? Summer Fall Spring Year Check all admission classifications that apply to you. Concurrent Enrollment Option A Senior to Sophomore Dual Enrollment Post-Secondary Enrollment Option B Will you need assistance in selecting a college major or career? Yes No Have either of your parents/guardians attended college? Yes No Are you presently in the U.S. Armed Forces or a Veteran Yes No (optional) INTENTION STATEMENT Which of the following best describes your primary reason for attending MTC? (CHOOSE ONLY ONE) Selected Courses To obtain knowledge for personal interest (PERS) To upgrade skills for current job by taking only selected courses (SKIL) To train for a new career by taking only selected courses(tran) To transfer before completing a degree or certificate (TRBD) MAJOR OR PROGRAM OF STUDY Please complete the other side of the application. Degree or Certificate To obtain a certificate (CERT) To obtain an associate degree for transfer (TRNS) To obtain an associate degree for the job market (ASSC) PLEASE SELECT A MAJOR or PROGRAM from the list provided SECOND MAJOR or PROGRAM (if applicable) If you have chosen more than one MAJOR or PROGRAM, do you plan to: Complete both programs at the same time (Dual Major) Apply for Admission in two programs/will select one at a later date Social Security Number: Your SSN is not used as your student ID number. We reuest your SSN for compliance with federal and state reporting reuirements. Supplying a SSN is necessary for students to ualify for educational tax credits, enables certification of Veterans benefits, and enables the College to provide information to government entities that reuire the SSN, including but not limited to the federal government for financial aid and Tax Relief Act (1997) reporting, Immigration and Naturalization Service, and Ohio Board of Regents. Marion Technical College will not disclose your SSN without your consent for any other purposes except as allowed by law. COMPLETE BOTH SIDES OF FORMS.

MARION TECHNICAL COLLEGE EARLY COLLEGE APPLICATION FOR ADMISSION HIGH SCHOOL AND COLLEGE INFORMATION High School Name ** High School City State Date graduated/ged date Anticipated graduated date Month Year Career and Technology Center Name Career and Technology Center City State What last name was listed on your high school records? ** High school graduates and current high school students should reuest an official copy of their high school transcript to be sent directly to MTC. Is Marion Technical College the first college you have ever attended? Yes No Have you attended MTC in the past? Yes No APPLICATION AGREEMENT I have included the $20 nonrefundable fee with this application. I certify to the best of my knowledge that the information herein is true. By signing and dating this application, I agree to abide by the policies and regulations of the College as published in the MTC catalog. Signature of Applicant Today s Date SELECTIVE SERVICE Selective Service Registration Statement: All male applicants are reuired to complete this statement under section 3342.52 of the Ohio Revised Code. OR I am registered with the Selective Service System and my registration number is:. To obtain your registration number call 1-847-688-6888 or go to www.sss.gov. (Registered, has number) I am not registered with the Selective Service System for the following reason: (Please check any that apply) I am under 18 years of age. I understand on my 18th birthday I must register for Selective Service and certify to MTC the selective service #. (Under 18, Not Registered) I am on duty with the Armed Forces of the United States excluding training in a reserve or National Guard unit. (Exempt) I am over the age of twenty-six. (Exempt) I am a resident alien. (Exempt) I am a permanent resident of the Trust Territory of the Pacific Islands or the Northern Mariana Islands and I am not a citizen of the United States. (Exempt) 12 14 2012 MAIL THIS APPLICATION WITH YOUR $20 FEE TO: Marion Technical College Office of Admission, 1467 Mt. Vernon Avenue Marion, OH 43302-5694 or apply online at www.mtc.edu 740.389.4636

Admission Options INDICATE UNDER WHICH OF THE FOLLOWING EARLY COLLEGE OPTIONS YOU WILL BE ENROLLING: (Choose one): PSEO Option A (or Concurrent Enrollment). I wish to receive college credit only. Under this option, I am responsible for tuition and fees as established by MTC and must pay for textbooks and materials. PSEO Option B. I wish to receive both high school graduation credit and college credit. Tuition, fees, textbooks, and printed materials are provided at public expense. Seniors to Sophomores (limited to participating high schools). Dual Enrollment (limited to participating high schools). Combination PSEO, Dual Enrollment and/or Senior to Sophomore (limited to participating high schools). Certification To be signed by Student and Parents/Guardian: In applying for admission to MTC under Early College Options, we certify that the above information is true and that we are fully aware of the advantages and possible risks and conseuences of participation. We also understand that if the student does not successfully complete a course(s) under PSEO Option B, or seniors to sophomores, whether through a formal withdrawal, non-attendance or failure we will be responsible for the cost of tuition, fees, books, etc. Video, Photo, Audio Release Form - I hereby grant permission to Marion Technical College to use my uotes, photos, videos, together with the right to reproduce them in any advertising or promotional materials. These materials may include, but are not limited to, newspaper advertisements, brochures, internal publications, posting on the Internet, web site, or any other usages. I also waive and relinuish any and all causes of action, payment, claims, and demands of whatsoever kind or nature on account of or arising out of any publications or postings. Student only: I give MTC permission to release information concerning my enrollment, grades and attendance to my parents or guardian, the appropriate High School Representatives and the State Superintendent of Public Instruction. Date Signature (Student) Printed Name Date Parent/Legal Guardian (if student is a minor) Printed Name To be signed and completed by the Guidance Counselor: I have advised this student and/or his/her parents or legal guardian of all available options and ramifications involved in the Early College Options Program. I recommend this student to participate in Early College Options at MTC. Student's most current high school grade point average. Based on semesters. The above student has an accumulative grade average of "B" (3.00/4.00 scale) in the following high school subject areas: Math Yes No English Yes No Has the student successfully completed all subject areas of the OGT? Yes No Date Guidance Counselor Signature or School Official COMPLETE BOTH SIDES OF FORMS.

1467 Mt. Vernon Ave. Marion, Ohio 43302-5694 Participation Form Early College Options at Marion Technical College earlycollege@mtc.edu PLEASE PRINT OR TYPE LAST NAME FIRST NAME SOCIAL SECURITY NO. Educational Background Expected Graduation Name of High School Location Date from High School (If JVS student, list JVS and home school) City State Month Year Name of Parent or Guardian or Emergency Contact Person NAME STREET ADDRESS CITY STATE ZIP CODE DAY PHONE BUSINESS PHONE ( ) ( ) What campus do you plan to attend? Marion Campus High School site Name of H.S. Other Relationship to Student: Father Mother Guardian Marion Technical College provides eual opportunities regardless of race, color, national origin, sex, disability, age, military status, or sexual orientation.