Full-Time College Waiver Application
Student's Name
*
First and Last
Student's Date of Birth
*
Anticipated Graduation Date
*
-
Month
-
Day
Year
Date
Grade Student is Entering in the Fall
*
e.g. 12
Student CCPS ID#
*
Student Email Address
*
example@example.com
Student Address
*
Student Phone Number
*
Charles County High School
*
La Plata
Henry E. Lackey
Maurice J. McDonough
North Point
St. Charles
Thomas Stone
Westlake
Lackey Counselor
*
Mr. M. Caputi
Ms. G. Plenty
Mr. E. Hall
Ms. A. James
La Plata Counselor
*
Chantel Gladden
Tamantha Golden
Abby Pherson
Kathy Reamy
McDonough Counselor
*
Valerie Benton
Adrian Banks
Charlene Tyree
Sarah Marzolf
North Point Counselor
*
Vone McKithen
Felecia Johnson
Sheryle Williams
Cindy Sanders-Moore
Laurie Ligon
Yewande Wynn
St. Charles Counselor
*
Megan Chappelle
Justin Ryan
Seaton Fisher
Thomas Stone Counselor
*
Tracey Jarmon
Angie Prado
Hope Ransom
Gretchen Salopek
Westlake Counselor
*
Brittney Inge
Lana Collier
Sameemah Shareef
Elizabeth Saam
Maureen Toler
Student's Signature
*
Parent's Name
*
Parent's Phone Number
*
Parent's Signature
*
Please attach a copy of your high school transcript and any SAT/ACT scores you have.
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