College Credit Plus MOU Request Form

* fields are required

Student First Name: *

Student Last Name: *

S-Number: *

StudentSSID: *

Student Email Address: *

Personal Email Address:

Student Phone Number:

Name of Homeschool: *

Address of Homeschool: *

First & Last Name of Parent/Guardian : *

Parent/Guardian Email Address: *

Do you have a W-9?: *

Do you have a sales tax exemption form? : *

Do you give permission for Tri-C to communicate MOU and account information with the parent/guardian listed on this form? : *

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