GWC Concurrent Enrollment Release Form

Special Part-Time High School Release Form for 9th - 12th Grade Students (Concurrent Enrollment)

This form is intended for students who have completed the 8th grade and are currently attending high school.

GWC will process this form on a first come first serve basis.

The following 9th - 12th grade student is requesting permission to enroll at Golden West College for "advanced scholastic or vocational coursework" not available at his/her high school (students who have not completed the 8th grade are not eligible to participate in the Special Part-Time Program). Students must complete and submit a signed copy of this form listing each course they wish to take at GWC each semester. Admission and enrollment are contingent upon meeting the requirements of the California Education Code, Section 48800, as determined by the high school and the College.

Student Information

Student First Name

Student Last Name

Student Phone Number

Date of Birth

Student Age

Email

Enter a CID or CCCID

IMPORTANT: This is NOT your high school ID number. The GWC CID number begins with C0xxxxxxx. Students receive it in an email from the GWC Admissions Office 1-2 days after submitting the online application to Golden West College. Upon submitting the online application on CCCApply, you should have a CCCID. If you have not applied to Golden West College, please apply here. If you have already applied and it has been over two days, but you cannot find your CID, please send an email to dualenrollment@gwc.cccd.edu for assistance.

CID (Example: C01234567)

CCCID (Example: CWV123)

Student CID

Student CCCID

This is your Coast Community College District ID number. You should have received this ID number in an admissions email from your college.

This is the CCC Apply ID number. You should have received this ID number when you created a CCC Apply account.

Creating a CCCApply account does not mean you have submitted an application to Golden West College.

Please make sure you have completed and submitted your Golden West College application before submitting this form. You should receive an email with a confirmation number once your application has been successfully submitted.

Submitting this form without an active application on file will delay the processing of your concurrent enrollment request.

Student Home Address:

Apt/Suite/Unit

City:

State

Zip

Student's High School

Please enter the grade you will be in for the semester you are choosing to enroll in. For the case of Summer, if you are currently in 9th grade and you apply for the Summer 2025 term, you are considered in 10th grade and will fill in "Current Grade" as 10th grade.

Current Grade

Student's High School ID No.

High School District

The list of charter schools only contain schools that are partnered with Golden West College. If you do not see your charter school in the dropdown, please select "Other" for High School District and enter your school's information.

High School

Is this school a home school?

Yes

No

The California Private School Afifidavit is required for home school students. Please complete the Private School Affidavit 2025-2026 Form (CA Dept. of Education) https://www3.cde.ca.gov/psa.

Your form cannot be processed without a completed Private School Affidavit.

Principal/Designee First Name

Principal/Designee Last Name

Principal/Designee Email

Confirm Principal/Designee Email

Course Selection

Special part-time high school students can take up to 11 units during a regular Fall or Winter/Spring semester and up to 10 units during a Summer semester. The student's high school principal (or their assigned designee) must approve the requested courses and certify that the student has demonstrated sufficient preparation for college-level coursework.

NOTE: Approval of requested courses is course specific. Please include alternative courses (if any), in the event that the requested course is full. This form does not guarantee a space in the course(s).

The Class Schedule is available here

Requested Courses

Semester

If you have enrolled in courses at GWC in a past semester and you have not enrolled in courses for two consecutive primary semesters (Spring/Fall), the system will not automatically issue a registration date and time for you to register. You will need to apply for GWC's Summer 2026 application at: https://www.opencccapply.net/gateway/apply?cccMisCode=832

Please note that Summer 2026 forms will not be processed until registration appointments are assigned on March 16th.

Thank you for your Special Admit concurrent enrollment form submission for Fall 2025. Please note that the deadline for processing this form is June 5th, 2025. If we receive this form after June 5th, 2025, GWC will process it on a first come first serve basis but cannot guarantee processing before the start of the term.

I acknowledge these terms

IMPORTANT: As of Fall 2025, California Community Colleges are implementing Common Course Numbering (CCN). This may result in some course number and/or title changes in this schedule. Follow this link to see the new course names for Fall 2025.

Course
Example: COUN G105

Units
Example: 3

Course 1:

Units

Course 2

Units

Course 3

Units

Course 4

Units

Course Information is incorrect, please review. EX: COUN G105

Total Units

If you wish to enroll in a higher-level MATH, SPAN, VIET, or SIGN course, you may need to complete a Prerequisite/Corequisite Challenge Form. Without a Prerequisite/Corequisite Challenge form completed, you may not be able to register for MATH, SPAN, VIET, or SIGN courses even if they're approved.

Parent/Guardian Email

FERPA

Parents Cannot Get Student Progress Reports or Grade Information from College Instructors.
Dual Enrollment students are enrolled in a college course, and it is important to understand that instructors prefer to work directly with students, as opposed to the type of parent/guardian interactions that are more common at the high school level. Under FERPA (Family Educational Rights and Privacy Act), instructors are not required to discuss student performance or other student-related issues with parents/guardians.

I, the undersigned, hereby authorize Golden West College to release information pertaining to my records at the Admissions & Records office to the individual(s) named below while I am a high school student. I also understand that this authorization will expire if/when I become a college student at Golden West College.

Yes

Parent/Guardian 1

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian 2

Parent/Guardian First Name

Parent/Guardian Last Name

Terms

Note: Please note that the signed permission from the student's high school principal (or their assigned designee) and their parent/legal guardian (if under the age of 18) is required before a student will be granted permission to enroll in the requested course(s). Enrollment is also conditional upon completion of course pre-requisite and/or program restrictions.

** Your parent/guardian is no longer required to sign your concurrent enrollment release form. Instead, they must complete the new Parent Consent Form, which only needs to be submitted once for your entire high school years. **

It is the responsibility of the student to drop a course they have been registered in if they need to do so. Deadlines to drop classes are posted on your MyGWC account on the Student Tab. Click on the link to the Student Class Program (Web Schedule Bill). Instructions for accessing your Web Schedule Bill can be found here: http://www.goldenwestcollege.edu/admissions/web-schedule-bill/. These dates and deadlines are final and cannot be extended. By signing, you agree to the mandated dates and deadlines. The "W" (withdrawal) grade will be used in determining the student's probation and disqualification status.

Taking your dual enrollment college course for a letter grade is essential because the University of California (UC) and the California State University (CSU) systems do not accept Pass/No Pass grades for courses that are being used to fulfill its A-G subject requirements. This means that if you take a college course as "Pass/No Pass" grading to meet your A-G requirements, you will not be able to use this to meet freshman eligibility for admission to the UC and CSU system. If you have additional questions about this, please contact your high school counselor or the college and career center at your high school.

I have read and acknowledge these terms

Read Special Part-Time High School Program Requirements

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Special Part-Time High School Program Requirements

STEPS REQUIRED TO COMPLETE THE GWC REGISTRATION PROCESS

STEP 1 – APPLY FOR ADMISSION – Apply online (at https://bit.ly/gwcapply) for the first semester you plan to attend. You do not need to reapply for subsequent semesters unless you skip two primary semesters or when you are graduating from high school changing to a first-time college student.

STEP 2 – SELF-PLACEMENT – If you plan to take English or Math classes or any classes that have an English or Math prerequisite, you must self-place using the GWC online self-placement tool at: https://www.goldenwestcollege.edu/map/index.html.

STEP 3 – SUBMIT THE COMPLETED SPECIAL PART-TIME HIGH SCHOOL RELEASE FORM (this form) – Once you complete and electronically sign the Special Part-Time High School Release Form, a copy will be sent to your parent/legal guardian for their approval (if you are under the age of 18). Permission from a high school student’s parent or legal guardian is required to be able to enroll in a community college course (if under the age of 18). If your parent or legal guardian approves of you enrolling in the selected Golden West College courses, a copy will also be sent to your high school principal for their approval. Once the Special Part-Time High School Release Form has been completed with the required signatures, Golden West College staff will process it to grant the student permission to register in the selected courses. If you prefer to complete a paper copy of the form and collect the required signatures manually, you may obtain one at: www.goldenwestcollege.edu/dualenrollment/forms/.

STEP 4 – REGISTER FOR THE COURSE(S) – After your admissions application and Special Part-Time High School Release Form have been processed in the Enrollment Center, you will receive an email with information about your MyGWC portal account. MyGWC is the student portal, which will allow you to gain access to your registration appointment, register for classes, and check your semester grades. Once your admissions application and this form have been received and processed, the Enrollment Center will grant you special permission to take the course(s) listed on this form. You may register for the approved course(s) on or after your appointment time to register, which is listed in MyGWC. If you are attempting to register for a Golden West College course that has already started, or if the course you want to enroll in is already full, you may petition by attending the first class and requesting an Add Code from the instructor. Although it is not required of high school students, you are encouraged to complete an online orientation prior to the start of your class.

IMPORTANT INFORMATION FOR YOUR SUCCESS AT GOLDEN WEST COLLEGE

1. TRANSCRIPTS – Enrollment at Golden West College creates an official college transcript, which is released only with the request and signature of the student regardless of the student’s age. You are fully responsible for your academic and financial record after you have registered at Golden West College. If you choose to designate someone else to handle your records transaction(s), the person designated must present written authorization signed by you (the student), and some form of photo identification at the time of the transaction. Grades are available approximately 10 working days after the end of the semester. Students may access their grades via the MyGWC portal. Official transcripts may be ordered during the last 2 weeks of the semester (make sure to check the hold pending final grades box) and are processed in the order received once grades are available.

2. GRADES - The grade(s) a high school dual enrollment student earns in a CCC, GWC, or OCC class will become a part of their official college academic record and official college transcript. Grades also may be shared with the High School District to include on the high school transcript.

3. FEES – Special part-time high school students who are classified as California residents under the Title 5 Education Code do not pay the per unit enrollment fee (but do pay the non-California resident fee if classified as a non-California resident). However, special part-time high school students are charged the Health Fee, the College Services Charge, and the Student Representation Fee, along with any material fees listed in the current GWC Class Schedule. Please note that all fee balances must be paid immediately or you may be dropped from your course and your seat will be released to other students. Students can pay campus fees by clicking on the "Pay Now" button after registering in the course online through MyGWC. Refer to the drop for non-payment schedule on the College’s website. Students are also required to pay for any textbooks and other materials required for the course.

4. DROPPING A CLASS – If you decide not to attend, official withdrawal from the course is your responsibility. There are specific deadlines for fee obligation, refunds, “W” grades, and letter grades. Please check your Student Class Program (Web Schedule Bill) via your MyGWC portal page.

5. FIRST DAY OF CLASS – You must attend the first class meeting or risk being replaced by another student at the discretion of the professor. A one-semester college course typically covers the content of a full-year high school course. GWC students are expected to study a minimum of two hours outside of class for each hour of classroom instruction.

6. CANCELLED CLASS – If the instructor is ill, an individual class session may be cancelled with short notice. Therefore, you should have alternative arrangements for transportation in the event this happens.

Please review the following Program Policies to make this a successful experience:
GWC offers an adult learning environment. Parents and students are requested to select appropriate classes, subject to College policy and procedures. The high school and the College determine who may enroll, based on their judgment of the applicant’s eligibility. The College has the right and responsibility to restrict enrollment for reasons of health and safety, appropriateness of the course, preparedness of the student, availability, registration priority, and College policy. Minimum school day attendance at the student’s regular school is required by law.

Students must complete all required steps for approval and signatures, as designated on the Special Part-Time High School Release Form, prior to enrollment for each course and semester.

Students are responsible for all rules and regulations at the College and are expected to read the admissions and registration instructions in the current GWC Class Schedule, Catalog, and College website.

It is the policy of the Coast Community College District to provide all persons with equal employment and educational opportunities regardless of race, color, gender, sexual orientation, national origin, religion, age, disability, or marital status. GWC 504/ADA Office – Coordinator of Disabled Students Programs & Services (DSPS) at 714.895.9721 or the campus Student Grievance Officer at 714.895.8125.

Signature

To continue with the electronic signature process, please sign by entering your full name in the Electronic Signature field below and select today's date. The signature must match the first name and last name inputted in the form above.

By signing this form I agree that I have read, understand and agree to the Special Part-Time High School Program Requirements as well as the GWC Student Code of Conduct. You can review the GWC Student Code of Conduct HERE.

Electronic Signature

Today's Date

Signature does not match the first name and last name provided.

The CID you entered is incorrect, please review.

A course name you entered is in an invalid format, please review.