VISTA UNIFIED SCHOOL DISTRICT

OFF CAMPUS COURSE APPROVAL FORM

Out of District & College/University Courses

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:http://www.ucop.edu/pathways/infoctr/doorway_index.html

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.

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: __________________________________________________________________

Comments:___________________________________________________________________________________

 

 

White: Cum file Yellow: Counselor Pink: Student