Ridge Technical College Application Rev Oct 4 2021

Student email address:*
example@example.com
Application date:

MonthDay Year
Date
School year:*
Student ID #
Driver's License #
Social Security #
New or returning student?*
Primary program of interest:*
Secondary program of interest:*
Are you?*
Dual enrollment means, you will still be enrolled at your current home school but will attend Ridge Technical College.
Do you preferer day or evening classes?*
Student Name:*

First Name Middle Initial Last Name
Phone: Home
Phone: Cell*
Please enter a valid phone number.
Street Address*

Street Address

Street Address Line 2

City State

Zip Code
Do you live in Polk County?*
If you are not a Polk County resident, please provide your county of residence.
Language spoken at home, if other than English.
Mailing Address (If different from the permanent address)

Street Address

Street Address Line 2

City State

Zip Code
Date of Birth*

MonthDay Year
Date
Birth City*
Birth State*
Birth Country*
State of Residency*

Street Address

Street Address Line 2

City State

Zip Code
Citizen Code:*
Where did you get your schooling?*
What is your level of schooling?*
Employment status:*
Military status:*
Emergency contact name (1):*
Emergency contact (1) phone number*
Emergency contact name (2):
Emergency contact (2) phone number:
Have you ever been expelled from any school, had an arrest resulted In a charge, or had any other department of Juvenile Justice actions against you, or been referred for mental health services?*
If Yes, Briefly describe:
Student signature*

Clear
Parent signature (if applicant is a high school student or under 18 years old)

Clear
By signing this document you accept that this will act as your legal signature.

The School Board of Polk County, Florida, prohibits any and all discrimination and harassment based on race, color, sex, religion, national origin, marital status, age, homelessness, or disability or other basis prohibited by law in any of its programs, services, activities, or employment. To file concerns, you may contact the office of Equity & Compliance, Human Resources at 863-534-0500. For persons with disabilities needing services in the courses of their studies, please contact a Ridge Technical College Counselor.
Your application will not be process until you submit the required documentation and pay the $30.00 application processing fee.

To pay the application processing fee, please call (863)419-3060 Ext. 454. (Credit or debit card only) Documents required for enrollment: 2 proofs of residency, picture ID ( picture ID can be one of the proofs of residency) TABE/CASAS scores (unless exempt), high school diploma or transcript* (official sealed transcript necessary if outside of Polk County Public Schools). Please request transcript to be send to Ridge Technical College 7700 State Road 544 - Winter Haven, FL 33881. *Some programs do not require high school diploma Documents required for financial aid: High school diploma, transcript or GED, driver’s license and social security card.
If you have not apply for financial aid, please go to https://studentaid.gov/understand-aid/types/grants/pell Ridge school number is 015780.

A week after submitting your financial aid application, please email Ms. Kovach at, angel.kovach@polk-fl.net or if if you have any questions regarding financial aid.
Please upload required documents:

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Remember to submit all the required documents and pay your application processing fee. If you have any questions please call Student Services (863)419-3060.
Cancelof
Program:
TABE (BSE) Level:
ELL services:
Remediation:
TABE Reading
TABE Math
TABE Language
CASAS Reading
CASAS Math
Start date:

MonthDay Year
Date
Entry code:
Grade level:
Application reviewed by:*
Initials:
Date

MonthDay Year
Date

Dual Enrollment

Parent/guardian and student must review and sign
Requested admission date:
Current grade level:

10th11th
Which school do you attend?
If you answered other on the previous question, please explain.
Dual Enrollment Contract

Parent(s)/guardian(s) and student please review the Dual Enrollment Contract carefully and sign.
The course(s) I am requesting are eligible to meet Polk County Public Schools high school graduation requirements.

• I have met Dual Enrollment admission entrance requirements. These entrance requirements must be verified by my high school guidance counselor.

• The last day of the course(s) taken is before my high school graduation date. • I understand the requested term for each DE course is contingent upon course and space availability.

• I will meet with my high school guidance counselor prior to beginning my dual enrollment course(s) to discuss the difference between dual enrollment and other types of accelerated programs, such as Advance Placement or the International Baccalaureate Program.

• I have completed all admissions documents required by the college that will be awarding credit upon successful completion of the course(s).

• Comply with the Attendance Policy, the Student Code of Conduct, and specific program requirements while enrolled in a technical program.

• I thoroughly understand the expectations of a college-level course. I understand that dual enrollment courses can impact my high school graduation and will be a permanent part of my record.

• I am required to maintain a 2.5 GPA.

• Like registration, all drops/withdrawals must be approved by the high school counselor and the college counselor.

Drop/withdrawal deadlines for students under dual enrollment is two (2) weeks from the first day of the start of the semester. Failure to adhere to drop/withdrawal deadline may result in a grade of “F” being posted on the student’s high school transcripts.

The student will be removed from the requested DE course(s) and placed in a substitute elective if the contact is not returned by the date specified by the school.

I affirmed that I have read this contract and I will abide by its stipulations.
Student signature

Clear
Parent/guardian signature

Clear

Should be Empty:

By signing this document you accept that this will act as your legal signature.

Your application will not be process until you submit the required documentation and pay the $30.00 application processing fee.

If you have not apply for financial aid, please go to https://studentaid.gov/understand-aid/types/grants/pell Ridge school number is 015780.

Dual Enrollment

Dual Enrollment Contract