KU Maine Lewiston - Early College Program Application Program Guidelines: 1. All courses at Kaplan University’s Lewiston campus in both on-ground and blended1 formats are available to second semester high school juniors and all seniors. University prerequisite requirements must be followed. 2. Acceptance is on a “seat available” basis; no seat, section, or course is guaranteed. 3. Eligible students may enroll in no more than 2 courses per term. 4. Admissions requirements are as follows: a. Completion of the Early College Program Application (this form). b. Completion of an interview with a KU Maine Admissions Advisor. (Student will be contacted to set up an interview.) c. Minimum KU Entrance Assessment Score of 20. (Assessment is taken during the interview. Student has three attempts to achieve minimum score.) d. Completion of KU Maine Enrollment Paperwork (Completed during interview). e. High school transcript (Student brings to interview). 5. Any award of high school credit for early college courses is at the discretion of the student’s high school; it is the student’s responsibility to apply with his/her high school for any such credit. Payments: 1. Early College Program students receive a 100% tuition scholarship, including the technology fee. 2. Early College Program students are responsible for paying the $20 enrollment fee at the time of enrollment plus the cost of textbook(s) when purchased. Students cannot start school until payments for fees and books have been received. 3. Schools with designated funding to assist students with payments for fees and books must make prior arrangements with the Business Office. I understand that I am responsible to read, understand, and abide by all Kaplan University policies outlined in the student catalog, which can be found on our website: www.kumaine.com. Student Signature: ____________________________________ Student date of birth: _____________________________________ Date: ____________________ If student is under 18 years old, a parent signature is required. Parent Signature: _____________________________________ Date: ____________________ Please return completed application via mail, fax or email (scanned) to: Thomas Deschenes, Admissions Advisor, KU Maine Lewiston Campus 475 Lisbon Street, Lewiston, ME 04240 Phone: 207-333-3300 Fax: 207-333-3305 tdeschenes@kaplan.edu 1 Blended courses meet one day per week on-ground and one day per week online. HIGH SCHOOL GUIDANCE OFFICE PARTICIPATION APPROVAL ____________________________ (Student name) is interested in pursuing course work at Kaplan University’s Lewiston campus during the following term (check one): November 9, 2011 February 1, 2012 April 18, 2012 July 5, 2012 In order for any high school student to register for courses at Kaplan University’s Lewiston Campus, approval of the high school is required. I understand that my signature below indicates support from a high school guidance official. High School Guidance Office Official: Printed Name: ____________________________ Date: _____________ Signature: ________________________________ Date: _____________ Please list a first option and a second option for preferred classes with course title, course code, and time: Preference 1: _____________________________ Preference 2: _____________________________ High School Name: _____________________________ Main Phone Number: ___________________________ STUDENT AND PARENT PARTICIPATION APPROVAL I understand that I am applying to register for one or two courses at Kaplan University’s Lewiston campus, and if admitted, I assume full responsibility for the $20 enrollment fee and any textbook expenses incurred as a result of this registration. If the student is under 18, a parent or guardian signature is required on both this application and the Kaplan University Enrollment Agreement, to be completed during the Admission interview. A signature indicates a parent or guardian’s approval and willingness to assume responsibility for expenses incurred by the student. Student: Printed Name: ______________________________ Signature: __________________________________ Date: _______________ Date of Birth: _______________________________ If student is under 18: Parent or guardian signature: ___________________________ For Kaplan University use only: Approved by: _________________________ Title: _________________________ Date: _______ ________ Date: ________________