College in the High School (CiHS) Registration Request2024-2025

College in the High School (CiHS) Registration Request

2024-2025

To enroll in your CiHS classes, please complete a separate registration request for EACH course you are taking at your high school. Students will not be enrolled until the following criteria are met:

You have an active ctcLink account (Centralia College admissions).
You have submitted a Registration Request for the course.
You have met any prerequisites for placement (if applicable).

Please ensure that you fill out this form with accurate information to avoid any issues with enrollment.

First Name*

Last Name*

ctcLink ID (Student ID) Number*

High School*

Select or enter value

Rochester Courses*

Select or enter value

WF West Courses*

Select or enter value

Winlock Courses*

Select or enter value

Registration Request Acknowledgement

I understand that by submitting this form, I am requesting to be registered in the above-listed College in the High School course. I certify that all information provided is accurate to the best of my knowledge.

Signature*

(type your full name)

Today's Date*

Centralia College does not discriminate against any person on the basis of race, color, national origin, disability, sex, genetic information, or age in admission, treatment, or participation in its programs, services and activities, or in employment. All inquiries regarding compliance with access, equal opportunity and/or grievance procedures should be directed to the Vice President of Human Resources and Equity, Centralia College, 600 Centralia College Blvd, Centralia, WA 98531, call 360-623-8943, or email hro@centralia.edu.

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