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Accelerated College Education (ACE) Application

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Accelerated College Education (ACE) Application

Welcome to the Pennsylvania Highlands Community College Accelerated College Education (ACE) Application. This application is for students who plan to enroll in courses offered through their high school.

When completing this form, all required fields must be completed in order for your application to be submitted.

After you have submitted your completed application, you will receive a message to let you know that your application has been sent.

Questions regarding the ACE Program or the enrollment process can be directed to the ACE Help Line at 814-262-6444.

 

 

NOTE: When continuing to the next page of the form use the Next Button to continue to the next page or the Previous Button to return to a previous page. Do not use the browsers Forward > or Backward < buttons, you will receive an error message and will need to begin over.
 
  

Student Information
*

First Name
 

Middle Name
*

Last Name
*

Email Address
*

Confirm Email Address

(Essential enrollment and payment information will be sent to the email address provided on this form)
 
  

Address Information
*

Street
 

P.O. Box
*

City
*

State
Pennsylvania
*

Zip Code
*

County
*

Primary Phone Number
 

Cellular Phone Number
 
  

Demographic Information - ( Optional )

The completion of the following information is voluntary and optional. It will be used to comply with Federal reporting and has no effect on admission to the College. Pennsylvania Highlands Community College is committed to the principle of equal education for all students without regard to race, national origin, marital status, creed, gender, age, or handicap.
 

Gender
 

Birth Date
 

Social Security Number

Race Information
 

Race (Choose 1 or more)




 

Ethnicity

 
  

Parent/Guardian Information
 
  
*

Parent/Guardian First/Last Name
*

Parent/Guardian Street
 

Parent/Guardian P.O. Box
*

Parent/Guardian City
*

Parent/Guardian State
*

Parent/Guardian Zip Code
*

Parent/Guardian Primary Phone Number
 

Parent/Guardian Secondary Phone Number
*

Parent/Guardian Email Address

Do you authorize the above listed Parent/Guardian consent to access your academic records?

The Family Educational Rights and Privacy Act (FERPA) of 1974 protects the privacy of educational records.  By selecting YES, I, the student agree to the release of my academic and billing/account information to the Parent/Guardian listed on this application. I understand that I can change this access at any time by contacting the Registrar's Office.
*
 

 
 
  

High School Information
*

What High School do you attend?
*

When will you Graduate?
 
  

Completion
 
  

Electronic Communication

The College may communicate with you in a variety of ways including email and text messaging. Please indicate below if you would like to opt out of receiving text and/or email messages from Pennsylvania Highlands Community College.
*

I wish to receive emails from Pennsylvania Highlands Community College.
*

I wish to receive text messages from Pennsylvania Highlands Community College.
 
  

Sign and Submit

By entering my first and last name, I certify that all information reported on this form is complete and accurate to the best of my knowledge.
*

Student Signature
*

Date
 
  
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