(cao-0001a) Dual Credit Course

RRPS Dual Credit Course - Application

Students must complete and submit this form before signing up for Dual Credit Classes.

Submission Date

Student's First Name *

Student's Last Name *

Student's RRPS ID# *

form admin
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Student Email (please use RRPS email ex. studentID#@s.rrps.net) *

Student Best Phone *

Student Attends *

Grade (this school year) *

School Counselor *

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Parent Name *

Parent Email *

Parent Best Phone *

Dual Credit Options *

Student Letter of Interest

Please answer the following questions below to explain why you feel the RRPS/CNM CIS or WELD Certificate Pathway is the right choice for you.

Getting into this program is a commitment from fall of 2023 until graduation. You will be part of a cohort of students in this program. Barring unforeseen circumstances, are you committed to remain in this program until graduation? *

Why do you want to attend the RRPS/CNM CIS or WELD Certificate Pathway? *

How do you intend to use the RRPS/CNM CIS or WELD Certificate Pathway to aid you in your career? *

Is there anything else you would like the RRPS CTE Team to know before you submit your application?

Please list two individuals our team can contact to serve as references for you.

1. Reference Name *

1. Reference Email *

1. Reference Phone *

2. Reference Name *

2. Reference Email *

3. Reference Phone *

Yes, I agree to the following:

Certificate Pathway Student Agreement

I understand to participate in any certificate pathway that I must be on-track with graduation requirements by July 1, 2023.
I intend to participate in the RRPS/CNM CIS or WELD Certificate Pathway for the 2023-2024, 2024-2025, and 2025-2026 school years.
I will be added to a lottery for admittance to the RRPS/CNM CIS or WELD Certificate Pathway and am not guaranteed a spot within the program.
I will be considered a college student and will be responsible to maintain passing or above grades in both my high school courses and my CNM courses.
I understand that the certificate program is designed for completion for my sophomore, junior, and senior year.
I understand that the program will first be filled with applicants scheduled to graduate in 2026 and if not enough students from the class of 2026 apply, students in classes 2024 and 2025 will be eligible to participate in the lottery.
I understand the sequence of courses have been designed so that students that successfully complete the courses earn the CNM certificate upon high school graduation.
I must maintain good standing in the core area high school classes to remain eligible in the CNM certificate pathway.

*

Program *

Number of
Courses *

Session *

Fall

Spring

Year (ex. 2022) *

Pre-Nursing (suggested classes: check all that apply)

Fire Science (suggested classes: check all that apply)

FS 1010 Principles of Emergency Services (STARS 2523)

Health 1001 (STARS 1595)

FS 1504 – Wildland Firefighting (STARS 2523)

EMS 1001 – First Responder Theory (Counts as Senior Science credit.)(STARS 2523)

EMS 1091 - First Responder Lab (STARS 2523)

Medical Assistant (suggested classes: check all that apply)

Community Health Worker (suggested classes: check all that apply)

CHW 1010 Community Health Worker Fundamentals (STARS 1499)

CHW 1020 Health Promotion (STARS 1499)

HLTH 1003 CPR First Aid &Safety )(STARS 1595)

PHLS 1120 Intro To Community Health Care (STARS 1502)

CHW 1190 Community Health Worker Clinical (STARS 1403)

Welding (suggested classes: check all that apply)

WELD 1005 – Blue Print Reading (STARS 2415)

WELD 1030 – Welding Math - (Counts as senior Math) (STARS 2415)

WELD 1050 -- Oxyacetylene Welding and Cutting (STARS 2415)

WELD 1150 – Intro to SMAW (Stick) (STARS 2415)

WELD 1250 – Intro to GTAW and FAB Lab (Tig) (STARS 2415)

Artificial Intelligence Machine Language (AIML) (suggested classes: check all that apply)

AIML 1010 Intro to Artificial Intelligence (STARS 1626)	BCIS 1110 Fundamentals of Information Literacy & Systems (STARS 0302)	CSCI 1108 CS For All, Intro to Computer Modeling (STARS 0323)	BCIS 1330 Intro to Analytics & Data Visualization (STARS
CIS 1250 Python Programming I (STARS 0324)	AIML 2010 Advanced Artificial Intellingence (STARS 1626)	CIS 1605 Internet Of Things (0302)	CIS 2520 Introduction to SQL Structured Query Language (STARS 0331)

General Dual Credit Selected

Reminder to CTE Admin to add STARs # for student's selected General Dual Credit (not CTE) course(s) on the Book Authorization Form..

List Classes You'd Like to Take:

Course #1

01 - Course # and Title (Include the CRN#) Click here for an example of correct formatting for course #, title & CRN# *

Course #2

02 - Course # and Title (Include the CRN#) Click here for an example of correct formatting for course #, title & CRN#

Course #3

03 - Course # and Title (Include the CRN#) Click here for an example of correct formatting for course #, title & CRN#

Yes, I Agree to the following:

Dual Credit Student Agreement
I understand that attending college needs to be taken serious and the grades I earn will be on my permanent high school and college transcripts. *

This form must be approved before signing up for Dual Credit Classes.

ENG 1101 - Composition I (STARS 1008)	BIO 1410 Biology for Health Sciences (Counts as senior Science.) (STARS 1712)	BIO 1492 Biology for Health Sciences Lab (STARS 1712)	PSY 1110 - Introduction to Psychology (STARS 2771)
CHEM 1410 – Introduction to Chemistry (Counts as senior Science.) (STARS 1723)	CHEM 1492 – Introduction to Chemistry Lab (STARS 1723)	BIO 2310 - Microbiology (Counts as senior Science.) (STARS 1714)	BIO 2310L - Microbiology Laboratory (STARS 1714)
BIO 2210 - Human Anatomy and Physiology (STARS 1713)	BIO 2510 - Pathophysiology I (STARS 1713)	PSY 2220 - Developmental Psychology (STARS 2772)	BIO 2225 - Human Anatomy & Physiology II (STARS 1713)
BIO 2520 - Pathophysiology II (STARS 1713)

BIOL 1130- Introductory Anatomy and Physiology (STARS 1713)	BIOL 1130L- Introduction to Anatomy and Physiology Lab (STARS 1713)	MA 1010- Medical Assistant Professional Overview	ENG 1110 - Composition I (STARS 1008)	ENG 1110P - Composition I Plus (STARS 1008)
HIT 1020 - Medical Terminology and Anatomy (STARS 1520)	MA 1020- Medical Assistant Clinical Skills (STARS 1595)	MA 1030 - Medical Assistant Coding and Billing Procedures (STARS 1595)	MA 1092 Medical Assistant Clinical Skills I Lab (STARS 1595)	MA 1520 - Medical Assistant Clinical Skills (STARS 1595)
MA 1592 - Medical Assistant Clinical Skills Lab (STARS 1595)	HLTH 1001 Clinical Preparation (STARS 1595)	HLTH 1003 CPR First Aid &Safety )(STARS 1595)	HLTH 1010 - Medical Ethics and Law (STARS 1595)