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Student must complete this form and receive approval PRIOR to enrolling in ANY off campus course
Student Name__________________________________________ Stu #____________________
Institution where taking course: ____________________________________________________
Institution’s Address: ______________________________ Phone: ________________________
Term class to be taken: Fall / Spring / Summer Is the school WASC accredited? YES / NO
(If NO, this course will NOT count for high school credit)
Name of Course: ___________________________________Course # _________Units________
Is this a high school or college course?______________________________________ If college course, high school credit will be awarded as follows: College remediation credits are transferred as 1 college unit = no high school credit, 2 or 3 college units = 5 high school credits, 4 or 5 college units = 10 high school credits. College level courses are transferred as 1 college unit = 3.3 high school credits with a maximum of 10 high school credits per course. College physical education 1 or 1.5 PE unit = 2.5 high school credits. All courses are transferred as unweighted classes and will affect student’s GPA and/or class rank.
Reason for wanting to take this course: Remediation / Acceleration / Other _________________________
Is this course UC/CSU approved as indicated on the UC high school A-G certified course list? YES / NO
You can look up the courses that are UC/CSU approved online at: https://pathways2.ucop.edu/doorways/list/
Will the institution mail an official transcript to VHS/RBVHS? YES / NO
For credit to be posted on your high school transcript, you must request an official transcript be sent to the VHS/RBVHS registrar. Note: Seniors must provide high school with official transcript no later than June 1 to participate in graduation ceremony.
Have you taken any other classes off campus for high school credit? YES / NO If yes, please list course and number of high school credits earned: _______________________
Student Signature:_________ Parent Signature:_________Date Submitted to Counselor:________
Please attach a course description from the school’s course catalog. If UC/CSU approved you must attach their A-G certified course list. Approval must be obtained before enrolling in the class to receive high school credit. A separate worksheet must be filled out for each course. All costs incurred in taking courses off campus will be the responsibility of the student and/or parent.
For school use only:
Above off-campus course request is: Approved / Denied Total high school credits to be awarded: ________
Counselor Signature: ___________________________________________________
Assistant Principal Signature: ______________________________________________
White: Cum file Yellow: Counselor Pink: Student
OFF CAMPUS CREDIT
Off Campus Credit Forms
Off Campus Courses District guidelines allow a student to take up to 50 credits in off campus courses (maximum 30 non-college and 20 college level) during the student’s four years of high school. Students must receive prior approval by using the Off Campus Credit Form. Unless otherwise authorized by the school administration, off campus courses should be limited to one per core subject area. Note: All students must enroll in English 11, English 12 and American Government/Economics on campus.
College Credit for High School Diploma College or university courses may be taken for high school credit if prior permission is received using the Off Campus Credit Form. Arrangement to apply this credit toward high school graduation must be made prior to the first meeting of the course, and following the stipulations apply:
3.3 high school credits per one college unit (maximum 10 credits per course)
IMPORTANT INFORMATION AND SPECIAL PROGRAMS