Level UP Application - City Colleges of Chicago

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Level UP-
Summer 2015
City Colleges of Chicago
Attn: Level UP 13th Floor
226 W. Jackson
Chicago, IL 60606
Apply Now.
City Colleges of Chicago
Level UP into college credit.
Email level_up@ccc.edu
Call 773-265-5343
Visit www.ccc.edu/LevelUP
Level UP is a class designed for City Colleges of Chicago students to
jumpstart students into college credit and the college experience.
Program Overview:
Get ahead with Level UP, a free program for City Colleges of Chicago students. This program will prepare you for
college-level coursework and a college environment. Students can save up to $3000 in tuition and textbooks and
eliminate up to 3 semesters of classes. Not only can you accelerate your education in English and Math, but develop a
support system with peers, faculty, and staff. Get involved with a close community of highly motivated peers &
supportive teachers. Choose a schedule that fits your needs (a half day for one subject or whole day for both English
and Math), with a morning and afternoon sessions available.
Submit your application to:
City Colleges of Chicago
OHC: fax: 773-291-6473
WWC: fax: 773-481-8620
MXC: fax: 312-553-3306, amay17@ccc.edu
KKC: fax: 773-602-5521, erobinson10@ccc.edu
email: level_up@ccc.edu
Seats are limited! Apply early!
Selection Criteria:
Incoming City Colleges of Chicago student with high school diploma or GED
Current City Colleges of Chicago students not enrolled in credit courses
Application Process Checklist
Complete the following steps prior to the posted deadline date to be considered for the Level- UP program:
Complete the City Colleges of Chicago application form and the Level UP application
(Optional) Obtain a recommendation from one of your high school instructors or advisors
Take the COMPASS test
Mail, fax or email documents to:
City Colleges of Chicago
Email level_up@ccc.edu or fax to one of the numbers above.
Level UP Application
Please complete this application and mail, fax or email:
City Colleges of Chicago Attn: Level UP 13th Floor
226 W. Jackson Chicago, IL 60606
City Colleges of Chicago
email level_ups@ccc.edu or fax to specific campus:; OHC: fax: 773-291-6473; WWC: fax: 773-481-8620;
MXC: fax: 312-553-3306, email preferred; KKC: fax: MXC: fax: 312-553-3306, email preferred.
 Mr.
 Ms.
FIRST NAME
LAST NAME
-
-
DATE OF BIRTH
STREET ADDRESS
CHICAGO, ILLINOIS
-
PHONE
ZIP
EMAIL ADDRESS
Intended Course of Study/Major
High School or Most Recent Post-Secondary Institution
Do you already have a CCC student ID?
If yes, please provide:
0
0
Have you already taken the COMPASS test? If so, please provide COMPASS Score for the following subjects:
Math
Reading
Writing___________________
Preferred Level UP Session College select one location below and check course(s):
Kennedy King College:
Session I: May 11 – May 29, 9am-2pm
Orientation: May 11th: 8:00am -10:00am (Building U/Room-156)
Session II: June 29-July 24, 9am-2pm 
Olive-Harvey College:
June 22-July 30th (Math Room:2104, English Room: 2104)
Math Session I: Monday/Wednesday, 9am-12pm 
Math Session II: Tuesday/Thursday, 9am-12pm 
Orientations June 23rd, 10:00am – 1:00pm & June 24th, 5:30pm –
English Session I: Monday-Thursday, Time TBA 
Chemistry, Monday-Thursday, Time TBA, Room TBA
7:30pm (Building U/Room-156)
Malcolm X College:
Orientation June 17, 5-7 pm (Faculty Lounge)
Wright College:
Session I: June 1-June 25, 9am-1pm (Room TBD) 
Session II: June 29-July 23, 9am-1pm (Room TBD) 
June 22- July 30, 1:30pm-5:30pm (Room S-305) 
Harold Washington College
Session I: June 1-June 25, 1:30pm-4:30pm (Math Room:709,English Room: 710) 
Session II: June 29-July 23, 1:30pm-4:30pm (Math Room:709,English Room: 710) 
All of the information contained in my application is complete, factually correct and honestly presented.
Signature
Date
My parent/guardian grants me permission to enroll in Level UP.
Parental signature (required for students under 18)
OPTIONAL Level UP Letter of Recommendation
This portion of the application is not required. Please complete and mail, fax or email to:
City Colleges of Chicago
email level_ups@ccc.edu or fax to specific campus: HWC: fax: 312-553-5964; OHC: fax: 773-291-6473; WWC: fax: 773-481-8620;
MXC: fax: 312-553-3306, email preferred; KKC: fax: 773-602-5521 MXC: fax: 312-553-3306, email preferred.
Instructions to Student: Please fill out the top part of this form with your name and student ID number; then ask one of
your high school instructors or counselors to complete.
FIRST NAME
0
LAST NAME
0
CCC STUDENT ID # (Please leave blank if you haven’t received it.)
Instructions to Teacher/ Counselor: Please complete the information below for the student indicated above. Level UP is
a program for motivated students prior to taking college credit. This is a free 4-6 week summer program that focuses on
academic and career success. Any questions regarding this recommendation form or the program please contact City
Colleges of Chicago 773-COLLEGE (773-265-5343) or to level_up@ccc.edu.
INSTRUCTOR/ COUNSELOR NAME
Excellent
Above
Average
Average
Below
Average
Not Able
to Rate
Attendance …………………...
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Academic Achievement ……
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Critical Thinking ……………..
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Communication Skills …...…
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Writing Skills …………………
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Motivation ………………….....
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Class Participation ………….
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How long have you known the applicant? _____________________
What course(s) has the applicant taken with you?
____________________________________________________________________
Comments (optional):
Note: You may attach an additional sheet if you wish.
_________________________________________________________
Teacher/Counselor Signature
_________________________________________________________
High School/ City Colleges of Chicago Campus
____________________________________
Date
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