2020-2021 Student Enrollment Form

2022-2023 Early College Program Enrollment Form

This application is for the Reach Early College Program. The student must be enrolled in River's Edge Academy Charter School to participate in the program and will attend college classes on-campus.
Application Deadlines:
Fall Term Application due by August 8, 2022

Winter Term Application due by October 28, 2022

Spring Term Application due by February 10, 2023
RCC Student ID Number
SOU Student ID Number
Please confirm you are applying for: *

REACH Early College Program
Please select the community college you would like to attend: *

Rogue Community College (RCC) Southern Oregon University (SOU)
When do you plan to enroll? *

Fall Term (application deadline 8/8/2022) Winter Term (application deadline 10/28/2022) Spring Term (application deadline 2/10/2023)
Student Information
Student is currently: *

Applying to be enrolled with Reach Enrolled as a student with Reach
I understand that if I am enrolled in a different school or registered as homeschooled, I will need to apply to enroll with REACH. *

Yes Does Not Apply
Gender *

Male Female X
Student Last Name *
Last Name
Student First Name *
Last Name
Student Legal Name (if different)
Last Name
Student's Date of Birth *

Month Day Year
Grade (September 2022) *
Address *

Street Address

Street Address Line 2

City

Zip Code
Student Cell Phone Number *

Area Code Phone Number
Student Email *
example@example.com

Please enter your placement numbers for the following subjects: (ex. MTH 65 or 95, WR 115 or 121, RD 90 or 113).

Please upload your College Course Placement Score Report

Choose File
No file chosen Cancel of
Please upload any college level unofficial transcripts or grade reports.

Choose File
No file chosen Cancel of
Parent/Guardian Information
Primary Parent/Guardian *

First Name Last Name Relationship to Student
Primary Parent/Guardian Email *
example@example.com
Primary Parent/Guardian Contact Phone *
Parent Questions
In regards to education, what is the biggest challenge that you foresee for your family? *
I understand that my student will always work towards a high school diploma in this program. *

Yes
How did you hear about REACH Early College Program? *

Friend Family Member College Counselor High School Counselor Online Ad Facebook Web Search Newspaper Ad Parent Info Night Staff Member Other
Early College Handbook and Agreement
Early College Student Handbook
Agreement:
We, the undersigned, understand and voluntarily agree to the terms and conditions of the Early College Program.

Our signatures below indicate that we have read the Early College Student Handbook and understand and accept our responsibilities. We understand that failure to follow any terms of the Early College Student Handbook can lead to consequences, up to and including the possibility of the student being withdrawn from River’s Edge Academy Charter School.
Student Signature *

Clear
Parent/Guardian Signature *

Clear
Should be Empty:

2022-2023 Early College Program Enrollment Form