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admissions and registration forms

  • name and mailing address change ccs 4094
  • noncredit registration form ccs 8438
  • petition for continued enrollment
  • petition for high school diploma ccs 9145
  • prior learning assessment form ccs 8425
  • prior learning assessment crosswalk development worksheet ccs 8437
  • quick admit application form ccs 40-212 pdf | word
  • request for approval to test (sbctc)
  • registration transaction form ccs 40-164 pdf | word
  • replacement diploma order form ccs 5114
  • residence questionnaire ccs 4092
  • satisfactory progress petition ccs 4336 pdf | online
  • student checklist ccs 5013
  • student grade change request form ccs 40-338 pdf | word
  • student information update ccs 40-194
  • student information update online
  • textbook requisition form ccs 5110
  • transcript request - non-credit students ccs 9309
  • transcript request - high school completion ccs 9312
  • tuition waiver - state employee ccs 4093
  • underage admissions requirements ccs 40-221
  • verification of enrollment request ccs 40-177
  • withdrawal form ccs 40-133
  • worker retraining application ccs 40-198 (allows signature and submission)

experiential learning forms

  • experiential learning additional duties ccs 3132
  • experiential learning agreement ccs 3102 pdf | word
  • experiential learning application ccs 3118 pdf | word
  • experiential learning final evaluation of student progress ccs 3131
  • experiential learning job-related learning objectives ccs 3115 pdf | word
  • experiential learning work experience job description ccs 3128

scc financial aid - year specific forms

complete the following forms only if they have been requested by the financial aid department. check your ctclink student service center to do list for requested forms.

  • verification worksheet v1 standard verification ccs 43-165 2020-2021
  • verification worksheet v4 custom verification ccs 43-167 2020-2021
  • verification worksheet v5 aggregate verification ccs 43-164 2020-2021

scc financial aid - general forms

  • academic program plan ccs 43-157
  • award cancellation ccs 43-184 (allows signature and submit)
  • award reactivation ccs 43-185 (allows signature and submit)
  • ferpa ccs 40-200
  • financial aid loan adjustment request ccs 43-186 (allows signature and submit)
  • requesting professional judgment due to special circumstances ccs 43-189
  • satisfactory progress appeal ccs 4336 pdf | online
  • satisfactory academic progress policy ccs 43-152
  • student guide to work study ccs 43-190
  • scc work study wait list information sheet online

global education

  • international student application
  • assumption of risk form ccs 5808
  • extension of time to complete
  • ferpa authorization to release information from student education records ccs 40-200
  • global education status verification request ccs 40-216
  • global education-international programs: study abroad-travel waiver (independent arrival) ccs 40-227
  • global education-international programs: study abroad-travel waiver (independent departure) ccs 40-228
  • global education-international programs: travel waiver, release, andindemnification agreement (independent arrival) ccs 40-229
  • homestay student and family agreement - 18 years old and above ccs 5805
  • homestay student and family agreement - returning student ccs 40-336
  • international tuition and fees ccs 40-214
  • student contact information form ccs 5820
  • student medical information form ccs 5821
  • transfer out - clearance form and survey ccs 40-361

student resources

student services

  • authorization to release information from student records (ferpa) ccs 40-200
  • file a grievance for dss using form ccs 5008 pdf
  • high school release to attend ccs ccs 40-140
  • residence questionnaire ccs 4092
  • service learning application ccs 3137

veteran services

  • veteran remedial authorization ccs 4812
  • veteran reporting form ccs 4811
  • veteran student information authorization ccs 4813

PACE & SEER

head start - administrative

  • confidentiality agreement ccs 9879
  • directive regarding work hours, leave usage and work attendance ccs 98-160 pdf | word
  • exempt head start staff attendance directive ccs 97-173
  • family service coordinator (fsc) - new employee training documentation ccs 97-174 pdf | word
  • head start model release form ccs 1858 pdf | word
  • home visitor - new employee training documentation ccs 97-175 pdf | word
  • interview committee recommendations ccs 9899
  • pandemic agreement form ccs 97-187
  • practical dress guidelines for early childhood classroom and work environments ccs 98-143
  • pre-employment medical exam ccs 98-110
  • pre-employment medical exam instructions ccs 98-118
  • standards of conduct agreement ccs 9878
  • teacher - new employee training documentation ccs 97-177
  • training request-parent ccs 9890
  • training/travel request-staff ccs 98-102

head start - disabilities/mental health

  • classroom planning for a child with an iep ccs 97-163
  • mental health consultant documentation ccs 98-124
  • mental health consultant information ccs 97-112
  • mental health consultant pir log ccs 98-125
  • special services summary ccs 98-159 pdf | word

head start - ersea

  • agreement form ccs 97-141
  • agreement form (west boone center) ccs 97-181 pdf | word
  • application ccs 9847
  • authorization to disclose and receive information ccs 9713
  • community enrollment agreement ccs 97-186 pdf | word
  • enrollment drop notification ccs 9856 pdf | word
  • ersea annual income worksheet ccs 98-173
  • ersea attendance action plan ccs 98-163 pdf | word
  • ersea attendance letter ccs 9858 pdf | word
  • ersea declaration of no income ccs 9848 pdf | word
  • ersea eligibility verification ccs 9621 pdf | word
  • ersea family housing survey ccs 9940 pdf | word
  • ersea final attendance notification ccs 98-172 pdf | word
  • ersea priority point checklist ccs 98-126 pdf | word
  • postcard (one) ccs 9624 pdf | word
  • postcard (four) ccs 9624 pdf | word
  • transition plan checklist ccs 98-135
  • transfer request ccs 9941 pdf | word
  • transfer/transition notes ccs 98-149

head start - family services

  • consent for screening, assessment and exchange of information ccs 97-150
  • dst classroom/family documentation ccs 98-133
  • dst family case management ccs 9873
  • dst family documentation ccs 98-132
  • family strengths and partnership agreement/goals worksheet ccs 98-129
  • language line usage ccs 98-171 pdf | word
  • late arrival/pick-up contract ccs 98-120
  • notice of privacy (english) ccs 98-121
  • notice of privacy (spanish) ccs 98-14
  • parent interest survey ccs 98-178
  • parent participation sign-in sheet ccs 9885
  • pir volunteer services information ccs 9880
  • policy council child care information form ccs 98-174
  • records request ccs 98-128
  • table of contents: child/family file (center) ccs 98-139
  • waiting list update ccs 9857

head start - fiscal/child care

  • c-campis programs child care discount application ccs 98-162
  • child care exceptional fees ccs 9611
  • child care reimbursement voucher ccs 9853
  • continuing enrollment agreement ccs 98-134
  • financial agreement ccs 9610 pdf | word
  • request for volunteer vendor number ccs 98-142

head start - health and safety

  • asthma plan and medication orders ccs 97-165
  • blood lead-level handout ccs 98-137
  • classroom safety plan ccs 9625 pdf | word
  • controlled substance log ccs 98-175
  • dental examination record ccs 9821
  • emergency action plan diabetes type i ccs 97-164
  • first-aid kit inventory checklist ccs 9887
  • first-aid kit inventory checklist - kitchen ccs 98-112
  • fluoride information handout ccs ccs-9846
  • fluoride information handout (spanish) ccs 9846
  • health concern ccs 98-109
  • head injury letter ccs 97-182
  • health, dental and diet history (eceap) ccs 97-155
  • health, dental and diet history (ehs) ccs 98-116
  • health requirements reminder ccs 9888
  • health screening information for parents ccs 9823
  • immunization due notice ccs 9620
  • immunization exclusion order ccs 9855
  • lead exposure risk ccs 9897
  • medication administration authorization ccs 9896
  • medication request form ccs 97-160
  • minor incident/accident/illness report ccs 98-123
  • mumps do not enter if... (sign)
  • parent information: medications at hs/ehs ccs 97-158
  • release and emergency treatment authorization ccs 9828
  • seizure health care plan ccs 97-166
  • seizure observation log ccs 97-162
  • Severe allergy reaction plan & medication orders ccs 97-167
  • severe allergies guidelines ccs 97-161
  • topical treatment permission and application log ccs 9810 pdf | word
  • well-child examination record ccs 9822

head start - home visiting

  • in-home postpartum nursing assessment ccs 97-180 pdf | word
  • initial child development plans (cip)
  • i/t home-based ccs 98-144
  • pregnancy enrollment information ccs 9622
  • pregnancy planning and documentation ccs 9943
  • table of contents: child/family file (home) ccs 98-138

head start - in-kind

  • community volunteer ccs 9795
  • donation receipt ccs 9794
  • in-kind individual parent volunteer time form ccs 97-185 pdf | word
  • in-kind recordsiinteragency meeting ccs 9840
  • monthly in-kind home learning plan - infant/toddler ccs 98-153 pdf | word
  • monthly in-kind home learning plan - preschool ccs 98-151 pdf | word
  • parent volunteer hours ccs 9796 pdf | word

head start - nutrition

  • food request ccs 97-121
  • nutrition cacfp infant meal form ccs 98-179
  • nutrition daily infant meal record ccs 98-180
  • nutrition diet request: food allergy/intolerance ccs 98-141 pdf | word
  • nutrition diet request: menu adaptations ccs 98-157 pdf | word
  • nutrition infant meal record: birth - 5 months ccs 98-181
  • nutrition request for fluid milk substitution ccs 98-154 pdf | word
  • request for special dietary accommodations ccs 98-183 pdf | word
  • special diet letter ccs 98-140
  • usda child and adult care food program ccs 98-103
  • wic information request ccs 9757

head start - parent co-op forms

  • child observation and individualized positive guidance plan ccs 9901
  • curriculum plan review and feedback ccs 98-182
  • daily communication log ccs 9944
  • ersea family housing survey ccs 9940 pdf | word
  • ersea transfer request ccs 9941 pdf | word
  • Home visit planning & documentation ccs 9942 pdf | word
  • immunization due notice ccs 9620
  • Prenatal home visit planning & documentation ccs 9943
  • new employee and pir information ccs 9900
  • release of information-holmes ccs 9902
  • release of information-woodridge ccs 9947
  • training log ccs 9939