2020 College Credit Plus Signature Response Form




The School Verification Form is required and to be filled out by school counselors only.


 
Counselor Information


Student Information

Student Date of Birth
Student Date of Birth


Student Academics

Covering a period from
Covering a period from
to
to
This GPA is
This GPA is
Anticipated graduation date
Anticipated graduation date
In comparison with other students, the applicant's course selection is:
In comparison with other students, the applicant's course selection is:


Ratings

Academic Achievement

Academic Achievement

Extracurricular Accomplishments

Extracurricular Accomplishments

Personal Qualities and Character

Personal Qualities and Character

Overall

Overall



Evaluation



Letter of Recommendation

Has the applicant ever been found responsible for a disciplinary violation at your school, whether related to academic misconduct or behavioral misconduct, that resulted in a disciplinary action? These actions could include, but are not limited to: probation, suspension, removal, dismissal, or expulsion from your institution.
Has the applicant ever been found responsible for a disciplinary violation at your school, whether related to academic misconduct or behavioral misconduct, that resulted in a disciplinary action? These actions could include, but are not limited to: probation, suspension, removal, dismissal, or expulsion from your institution.
To your knowledge, has the applicant ever been adjudicated guilty or convicted of a misdemeanor or felony?
To your knowledge, has the applicant ever been adjudicated guilty or convicted of a misdemeanor or felony?
Note that you are not required to answer "yes" to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise ordered to be kept confidential by a court.

Applicants are expected to immediately notify Miami University should there be any changes to the information requested in this application, including disciplinary history.
I recommend this student for the College Credit Plus Program:
I recommend this student for the College Credit Plus Program:


I have fully advised this student and his/her parent(s) or legal guardian(s) of all the available options and ramifications involved in the College Credit Plus Program.