Special Admit Program – Summer 2023

Special Admit Program – Summer 2023

The following sections must be completed by the Special Admit Student (Section A), Parent (Section B), and High School Counselor or Principal (Section C). This packet and required documents must be presented at the Special Admit Program session.

Special Admit Program have space limits No guarantee of course approval or enrollment into college course.

Student Section: A

Mt SAC Student ID# (A00000000)*

Last Name*

First Name*

Date of Birth*

Name of High School*

High School/Principal Name*

High School/Principal Email*

New/Returning

Select

Email Address*

Student’s Cell #*

Grades Level*

e.g. 9th grade, 10th grade etc.

Are you participating in any Dual-Enrollment?*

Select

Completed your CCCapply for Summer 2023?*

Select

Signature*

File Attachments*

Drag and drop files here or

Please attach the following

Completed & Signed Special Admit Packet High School Counselor/Principal Section-C Assessment Questionnaire placement results Transcripts: High School (unofficial accepted), AP scores, Mt. SAC and/or other college attended (if applicable)

Send me a copy of my responses

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