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Admissions & Records

RCC
RIVERSIDE CITY cOLLEGE
Dual Enrollment/CCAP Form
School/Parent Approval Form
Term: FAL SPR 0 SUM
Year: 2023
Eligible high school students may attend Riverside City College classes on their high school campus if they meet certain
Students will earn both college and high school credit for these courses. Al RCC fees are waived. Interested qualifications
must meet ALL of the following requirements:
high school students

Have a cumulative GPA of 2.0 or higher


Attend high school at least a minimum day (not
required for summer term)
Approval from High School Principal or Designee
Attend a local high school participating in this
program (AUSD. JUSD, RUSD)
Students who meet these requirements must submit the following items in order for eligibilicy to be determined:
1. RCC Online Admission Application Confirmation
Page
Official High School Transcripts (in a sealed envelope and
printed in the last ninety days)
School/Parent Approval Form (signed by all required parties)

Approved students can register online via RCC's MyPortal or by completing a CCAP add card, which is available at your high school
guidance office. The class must be added prior to the add deadline, which can vary from class to class. Check with the schools guidance
counselor if you aren't sure.

Carranza Pizana Yahel CLL3272


Last Name First Name MI. RCCD ID# or SSN
22385 Louise St Perris CA
92570
Number and Street Apt City Zip
State

951 4833761 yeyecapi80@gmail.com 16 05/02/2006 10


Phone Number Email Address Age Date of Birth Grade

Pathway:
Advanced Technical Trades Business, Info Systems, & Technolog Education& Teacher Prep. O Health-Related Sciences

OLanguage & Humanities Social &Behavioral Sciences O STEM OVisual, Performing, & Creative Arts

High School Principal/Designee Approval:


I certufy this student has the ability to benefit from taking advance scholastic or vocational work andlor is idenijfied as being underepresented in
higher education. I make this recommendation as the principal of the student's school of attendance or I have been given authorization to make
this recommendation on behalf of the principal. If opPlying for RCCD's fall and spring sessionsI verify that this student meets the requirements
to porticipate in the Duol Enrollment progrom ot Riverside City College District (CA Ed Code 48800, 48800.5, 76000, 76001, 76002, and
76004)

Date:
03/il23 High School: Perris Highschool
Signature
Principal or Des|gnee Cunsele n

04/08/20

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