2019-20 College Credit Plus Student Information and Registration Form
Name
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First Name
Middle Name
Last Name
COTC ID:
Date of Birth
*
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Month
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Day
Year
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Name of High School
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Please Select
Amanda Clearcreek High School
Beechcroft High School
Bellefontaine High School
Bellefontaine Middle School
Berne Union High School
Bexley High School
Big Walnut High School
Bloom Carroll High School
Buckeye Valley High School
Canal Winchester High School
Centerburg High School
Central Crossing High School
Clear Fork High School
Coshocton High School
Danville High School
Delaware Hayes High School
East Knox High School
Fairfield Union High School
Franklin Heights High School
Fredericktown High School
Gahanna Lincoln High School
Granville Christian Academy
Granville High School
Grove City High School
Groveport Madison High School
Hamilton Township High School
Heath High School
Homeschooled
Johnstown-Monroe High School
Lakewood High School
Liberty High School
Liberty Christian Academy
Liberty Union High School
Licking Heights High School
Licking Valley High School
Marburn Academy
Meadowbrook High School
Millersport High School
Mount Vernon High School
New Lexington High School
Newark Catholic High School
Newark Digital Academy
Newark High School
Northridge High School
Oakstone Academy
Ohio School for the Deaf
Olentangy Berlin High School
Olentangy High School
Olentangy Liberty High school
Olentangy Orange High School
Pickerington Central High School
Pickerington North High School
Reynoldsburg Encore Academy High School
Reynoldsburg Summit High School
Ridgewood High School
River View High School
Rutherford B. Hayes High School
Teays Valley High School
Thomas Worthington High School
Utica High School
Watkins Memorial High School
Westerville Central High School
Westerville North High School
Westerville South High School
Westland High School
Whitehall Yearling High School
Worthington Kilbourne High School
Are you currently enrolled in a Career Technical Center?
*
Yes
No
Name of Career Technical High School
*
Please Select
Career & Technical Education Center (C-TEC)
Coshocton County Career Center
Delaware Area Career Center - North Campus
Delaware Area Career Center - South Campus
Eastland Career Center
Fairfield Career Center
Knox County Career Center
Southwestern Career Academy
Anticipated Grad Year:
*
Please Select
2020
2021
2022
2023
2024
2025
2026
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
Phone Number
*
-
Area Code
Phone Number
IMPORTANT Information
You must apply to COTC and complete the registration requirements before you will be officially enrolled. Students who have not lived in Ohio for the past 12 consecutive months OR are 18 years old or older and have not registered with selective service may be charged out of state fees. Contact College Credit Plus Department with your next steps. ccp@cotc.edu
College Credit Plus Course
*
Please Select
ACCT 111 - Financial Accounting
ARCH 110 - CAD Fundamentals
ARCH 116 - 3D Design with SketchUP
ARCH 136 - Technical Drawing
ASL 102 - Beginning ASL II
ASL 104 - Beginning ASL I
ASL 111 - Intermediate ASL 1
BHS 100 - Intro American Politics/Civic
BIO 105 - Environmental Science
BIO 120 - General Biology
BIO 121 - Human Biology
BIO 130 - Anatomy and Physiology
BIO 160 - Biology 1
BUS 105 - Intro to Business
BUS 115 - Intro to Marketing
BUS 120 - Business Law
BUS 125 - PC Applications in Business
BUS 130 - Team Building
BUS 135 - Intro to Human Resource Mgmt
BUS 150 - Advertising and Public Relations
BUS 207 - Bus and Pro Communication
BUS 226 - 21st Century Workplace Skills
CHEM 100 - Basic Chemistry
CHEM 110 - Chemistry 1
CHEM 111 - Chemistry 2
CIT 100 - Prin of Computer Programming
CIT 102 - Computer Apps for Tech Special
CIT 103 - Tech Integration Support
CIT 126 - Networking
CUL 101 - Intro to Culinary Science
DMD 100 - Fundamentals of Drawing
DMD 101 - Digital Software Fundamentals
DMD 103 - Typography
DMD 104 - Design Fundamentals
DMD 105 - Digital Photography 1
DMD 106 - Mass Media Communications
DMD 108 - Multimedia Production
DMD 120 - Web Design and Development 1
DMD 201 - Graphic Design 1
DMD 240 - Digital Video 1
ECE 130 - Health and Safety In Education
ECE 140 - Child Development
ECE 170 - Children's Literature
ECE 180 - Engaging Children in Projects
ECE 279 - Administration in ECE Program
ECON 105 - Prin of Microeconomics
EMS 100 - Basic Life Support
EMS 105 - First Aid
ENGL 112 - Compostion 1
ENGL 113 - Compostion 2
ENGL 208 - Technical Writing
ENGL 211 - Survey American Lit 1
ENGL 212 - Survey American Lit 2
ENGL 221 - Survey British Lit 1
FIRE 101 - Firefighter Health and Safety
FIRE 111 - Firefighter 1
FIRE 112 - Firefighter 2
HIST 150 - US History 1
HIST 151 - US History 2: Since 1877
LET 100 - Intro to Criminal Justice
LET 110 - Constitutional Law and Courts
MATH 130 - Intro to Stats
MATH 140 - College Algebra
MATH 150 - Pre Calculus
MATH 200 - Calculus 1
MATH 210 - Calculus 2
PHIL 100 - Critical Thinking
PSY 100 - Intro to Psychology
SOC 100 - Intro to Sociology
SOC 110 - Cultural Diversity
SPAN 101 - Spanish 1
SPCH 100 - Fundamentals of Communication
SPCH 205 - Public Speaking
SPCH 210 - Small Group Communication
OTHER
# of Credit Hours
*
Please Select
.5
1
2
3
4
5
6
7
Course Section
Office Use Only
COTC Term
*
Please Select
19AU - Autumn Semester (Fall)
20SP - Spring Semester (Spring)
Signature
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This signature is confirmation that the application I have filled out is my own work and the information is factually true.
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I certify my signature.
Today's Date
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Admissions Representative
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Callum Morris at morris.1550@mail.cotc.edu
Nicole Thompson at nthompso@mail.cotc.edu
Toni Trowbridge at trowbridge.35@mail.cotc.edu
Brant Baker at baker.2829@mail.cotc.edu
Select the representative that assisted you with filling out this form
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Registration completed by
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Registration notes:
Student has been registered
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