DMACC HIGH SCHOOL PERMISSION FORM FOR MIDDLE SCHOOL, FRESHMEN AND SOPHOMORE

IMPORTANT! If your student has only completed courses through Career Advantage (paid by your high school), they will need to submit a regular DMACC application to register outside of the Career Advantage Program. The regular application (non-degree seeking - while in High School) is only necessary once.
A new HS Permission Form is required each semester the student wishes to take self-paid courses - until HS graduation.
For application instructions, please click here.

Current Grade:

9th or 10th grade

Pre-High School

Home School

Current Grade is Required

Term for DMACC Enrollment:

Fall

Spring

Summer

Term is Required

________________________________________________________________________________________________________________________________________________________________________

We the parents/guardians of (social security number/DMACC ID) SSN is Required
Student name is Required Accepts only numbers without spaces
with a date of birth , a student at ,
Date of Birth is Required High School name is Required
give permission for our son/daughter to take college credit classes at the Des Moines Area Community College.

We also agree to provide the necessary admissions documents as required by the College and understand that course placement may be mandatory based on his/her ACT or ACCUPLACER scores.

High School Counselor's email: Parent's email:
                                       High School Official's email is Required                              Parent's email is Required
We understand that some DMACC courses require the completion of a prerequisite prior to registration. This Acknowledgement is Required.
We understand that any courses my student is enrolled in will be subject to the enrollment and drop deadlines. This Acknowledgement is Required.
I confirm that above information is correct and can be forwarded to High School Official for his/her permission. We understand that the cost of tuition and books is not covered by the high school for classes taken outside of the Career Advantage Program. This Acknowledgement is Required.

Parent/Guardian Signature:                                                     Date:
                                             Parent Signature is Required                                                                     Date is Required

*This form needs to be submitted each semester prior to registration.

_____________________________________________________________________________________________________________________________________________________

K-12 School (or Homeschool Parent):

, is a student with our school and in good standing. Based on his/her academic performance to date, this student should be able to meet the challenges of a college credit course.

High School Official's Signature: Date: Title:
Signature is Required Date is Required Title is Required

_____________________________________________________________________________________________________________________________________________________

Admissions:

Comment:

This form's processing is now complete. This Acknowledgement is Required.

DMACC Admissions Staff's Signature:                                                 Date:
                                                                                                     Date is Required