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Student Information Form and Parent/Student Agreement

Please complete this form in addition to completing the CEC Online Enrollment Application.

Please complete the form below. All fields are mandatory

About You 'The Student'
More Info
Home Information Who do you live with most of the time? Must include first name, last name and your relationship to this person. Include both parents' names if you live with both parents.

Sibling Information List any siblings who have attended a CEC school. Must include which school and the school year (date)

Your CEC Enrollment

You may not be enrolled in another public school while enrolled at CEC. Additional forms may be required.


e.g. custody agreements, restraining orders, change of name, adoption, etc. If yes submit supporting documents.

Educational History

What school are you currently attending? Or what is the most recent school you attended?

College Placement Test
  • If yes, submit a copy of your official score report. (see email and fax numbers below)


    "Graduated" includes a certificate, diploma or ceremony recognizing the student's graduation, a transcript that indicates a graduation date or any other method of communicating the student's graduation from high school, including registering a gradation status with the state of Colorado.


    If yes, you may be required to rescind your GED in order to be considered for enrollment.

    Educational Programs

  • Additional
    1. (If yes, you must provide a copy of the ILP with this application.)

    Excused Absences

    Unexcused Absences


    Please initial the following statements:

    1. Parent
    2. I received a copy of the Annual Notification to Parents and Students of Rights under FERPA Concerning Student Records.(below)
    3. I will review the CEC Student/Parent handbook including the dress code and discipline policy and agree to abide by CEC’s guidelines and policies.
    4. I understand that although I might attend classes on a college campus, I am first a CEC student and must coordinate and cooperate with my CEC advisor to make sure all necessary paperwork is filled out and submitted in a timely manner. Failure to follow the procedures for college course registration might mean that I have to pay the tuition for those courses.
    5. I understand that even if I am not planning on using CEC’s cafeteria, I am expected to fill out and submit Free & Reduced Lunch paperwork if I qualify so that CEC and I can take advantages of the many benefits offered.
    6. I agree to notify CEC right away if my plans change or I decide NOT to attend CEC.
    7. I understand that if I do not show up for the first two days of school in any semester and have not contacted the school’s attendance office to communicate my special circumstances, I will be considered an inactive student and be at risk for being unenrolled from CEC.
    8. I understand that meetings, emails, letters and phone calls are modes of communication that are initiated by CEC for my benefit and it is my responsibility to pay attention and follow up appropriately. Ignoring CEC communication will likely cause me to miss essential information and opportunities.
    9. I understand that if I am a full time student, I must pursue CEC’s graduation requirements including taking the Career Planning course.
    10. I understand that if I enroll as a part time student in the fall, I will not be able to change that status in the spring. I can, however, change my status to full time the following school year.
    11. I understand that I am expected to take annual Colorado standardized tests which will require me to go to the CEC campus. I agree to follow all pre-testing instructions, participate in all test prep activities, attend all testing sessions, and do my best to be successful on the tests.
    12. I understand that all 11th graders must take the Colorado ACT test on the CEC campus and agree to follow all pre-testing instructions, participate in all test prep activities, attend all testing sessions, and do my best to be successful on the test.
    Submit Additional Paper Work

    Submit any required documents or explanations to:

    1. Colorado Springs: Fax: 719-260-1253
    2. Fort Collins: Fax: 970-377-1144
    3. Parker: Fax: 720-851-9956


    Annual Notification to Parents and Students of Rights

    The Family Educational Rights and Privacy Act (FERPA) affords parents certain rights with respect to a student's education records. For students who reach the age of 18 or who enroll in a postsecondary institution the rights of the parent transfer to the student.

    The following is a summary and is not meant to represent the entire FERPA text. FERPA can be read in its entirety at

    Access to Records

    Parents and eligible students have the right to inspect and review the student's education records within 45 days of the day the school/district receives a request for access.

    Parents or eligible students should submit to the CEC records department a written request that identifies the record(s) they wish to inspect. A CEC Records Department official will make arrangements for access and notify the parent or eligible student of the time and place where the records may be inspected.

    Requesting to Amend Education Records

    Parents and eligible students have the right to seek amendment of the student’s records that the parent or eligible student believes to be inaccurate, misleading or otherwise in violation of the student’s privacy rights. Parents or eligible students should write the CEC Registrar, clearly identifying the part of the record they want changed, and specify why it is inaccurate. If the school decides not to amend the record as requested by the parent or eligible student, the school will notify the parent or eligible student of the decision and advise them of their right to a hearing regarding the request for amendment. Additional information regarding the hearing procedures will be provided to the parent or eligible student when notified of the right to a hearing.

    Consenting to Disclosure

    Parents and eligible students have the right to consent to disclosures of personally identifiable information contained in the student’s records, except to the extent that FERPA authorizes disclosure without consent.


    1) Records may be shared with: School officials, including teachers, with legitimate educational interests; officials of another school or district where the student seeks or intends to enroll; parents of students over 18 years of age who are dependent for federal income tax purposes.

    2) Disclosure of disciplinary information regarding conduct that posed a significant risk to the safety or well-being of the student or others in the school community is a legitimate educational interest of all CSI or School officials.

    3) Colorado Department Colorado Department of Education of Education may provide officials of such other school district with student performance information available on the statewide data system.

    4) Records may also be shared with contractors, consultants, trusted CEC volunteers or other outside service providers, including BOCES or the Charter School League with the understanding that the records are confidential and not to be shared.

    5) The Comptroller of the United States, the Attorney General of the United States, the Secretary of the U.S. Department of Education, or state and local education authorities but only if the disclosure is in connection with an audit or evaluation of Federal or State supported education programs, or for the enforcement of or compliance with Federal legal requirements which relate to those program or if specifically authorized by Federal law.

    6) In connection with a student's application for or receipt of financial aid.

    7) A criminal justice agency investigating a criminal matter concerning a student enrolled or who will reenroll in CEC when necessary to effectively serve the student prior to trial. Such information shall only include disciplinary and attendance/truancy information and shall only be shared upon certification by the criminal justice agency that the information will not be disclosed to any other party, except as specifically authorized or required by law, without the prior written consent of the student's parent/guardian.

    8) Educational testing and research organizations for the purpose of administering student aid programs or improving instruction or developing, evaluating and administering predictive tests as long as confidentiality is maintained and such organizations are required to destroy records after they no longer are needed.

    9) Accrediting institutions to carry out their accrediting functions.

    10) In emergency situations to appropriate persons if the information is necessary to protect the health and safety of the student or others.

    11) Anyone if required by a court order or subpoena. CEC will make reasonable efforts to notify the parent or eligible student prior to complying with the subpoena or court order.

    12) A court presiding over a legal action initiated by CEC or CSI where the education records are relevant, or a legal action initiated by a parent or eligible student where the records are relevant for the CSI's or School’s defense.

    13) CEC or CSI may disclose group scholastic achievement data from which the individual cannot be identified without written consent of the parent or eligible student.

    Filing a Complaint

    Parents and eligible students have the right to file a written complaint with the U.S. Department of Education concerning alleged failures by the school district to comply with the requirements of FERPA. The name and address of the office that administers FERPA are: Family Policy Compliance Office, U.S. Department of Education, 400 Maryland Avenue, SW, Washington, DC 20202-8520

    Directory Information

    FERPA generally requires that CEC or CSI obtain your written consent prior to the disclosure of personally identifiable information from your child's education records. However, CEC or CSI may disclose appropriately designated directory information without written consent, unless you inform the district in writing that you would like to opt out of directory information disclosures.

    Directory information is information that is generally not considered harmful or an invasion of privacy if released. CEC has designated the following information as directory information: Student's name; photograph; dates of attendance; grade level; most recent educational agency or institution attended; participation in officially recognized activities and sports; weight and height of members of athletic teams; degrees, honors, and awards received; and current courses in which student is enrolled.

    CEC or CSI may include this type of directory information in certain school publications, such as the following: A playbill, showing student's role in a drama production; the annual yearbook; honor roll or other recognition lists; graduation programs; sports activity sheets, such as for wrestling, showing weight and height of team members; bulletin board notices.

    Directory information also may be disclosed, without prior consent, to outside organizations such as companies that manufacture class rings or publish yearbooks. In addition, two federal laws require local educational agencies (LEAs) receiving assistance under the Elementary and Secondary Education Act of 1965 (ESEA) to provide military recruiters, upon request, with three directory information categories –names, addresses and telephone listings—unless parents have advised the LEA that they do not want their student's information disclosed without their prior written consent.

    If you do not want CEC to disclose directory information from your child's education records without your prior written consent, you must notify CEC in writing within 15 days of receiving this notice.