Registration/Enrollment Form

Registration/Enrollment

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Note:
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* Required


TTU K-12 is providing a 10% discount on all new enrollments to all benefits eligible, full-time, TTU and TTUHSC staff to support their family’s educational goals. Please place the discount code you were provided in the box below.

STUDENT INFORMATION

YES
YES
YES
Disabilities Documentation File Uploader
Acceptable file extensions are .pdf,.doc,.docx,.jpg,.jpeg

If you have multiple files, they must either be combined into a single file or documents which are not uploaded should be faxed to the appropriate fax number listed on the bottom of this form.


SCHOOL INFORMATION

School information is required so TTU K-12 can provide a Grade Report upon request following completion of the Course or CBE. If you are Homeschooling, use Homeschool as the school name.

Also, you may choose to become a full-time TTU K-12 student if you intend to graduate from TTU K-12 with an official Texas High School Diploma. Visit our Program page for more information. http://www.depts.ttu.edu/k12/programs/


COURSE AND/OR CBE ORDER INFORMATION

If you enroll in more than one course, please note that ALL courses will expire six months from the date of enrollment.

Refer to the TTU K-12 catalog to find the Course Name.
Prices are subject to change. Refer to the Tuition and Fees page for the most up to date pricing information.

Course or CBE Name I wish to order the
1
2
3
4
5
6
7
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*PLEASE READ: Course cost includes tuition and all applicable fees. Textbooks and materials are not included. All enrollments are processed in the order they are received.

Finding a face-to-face proctor is difficult at this time due to COVID19. Therefore, we have suspended sale of our Print-based CBEs on this form. We have replaced them with Online CBEs and Online Proctoring. A $15 online proctoring fee has been included in the cost.

DEMOGRAPHICAL INFORMATION

Information regarding race/ethnicity is mandatory and will be used in a nondiscriminatory manner, consistent with applicable civil rights laws. Information supplied will be used for Federal and/or State law reporting purposes.

STUDENT AGREEMENT

I agree to abide by all of the policies and procedures governing TTU K-12. (The Policies are available online at k12.ttu.edu, or obtain a printed copy by calling 800.692.6877.) TTU K-12 policy and applicable law governing the release of student education records permits TTU K-12 to release grades for students under 18 years of age to the students' parents or legal guardians without requiring student permission. If the custodial parent does not want TTU K-12 to release grades or other educational information to the non-custodial parent, a court or other legal decree that clearly states that the non-custodial parent does not have any educational rights with regard to the child must be provided to TTU K-12. However, a student 18 years of age or older must grant permission for TTU K-12 to release grades to parents or legal guardians. In addition, TTU K-12 policy and applicable law permits TTU K-12, without prior consent and regardless of age, to release a student’s grades to a requesting school if the student is enrolled in or transferring to the requesting school. I certify that this information is complete and correct to the best of my knowledge. I authorize the University to verify the information I have provided. If applicable, I also authorize TTU K-12 to electronically access my Texas Success Initiative (TSI) information.
Family Educational Rights and Privacy Act (FERPA)/Directory Information: The Family Educational Rights and Privacy Act (FERPA), a Federal Law, requires that Texas Tech University K-12 (TTU K-12), with certain exceptions, obtain your written consent prior to the disclosure of personally identifiable information from your child’s education record. However, TTU K-12 may disclose appropriately designated “directory information” without written consent, unless you have advised the District in writing. The primary purpose of directory information is to allow TTU K-12 to include this type of information from your child’s education records in certain school publications. Examples include: Honor roll or other recognition lists; Graduation programs; Texas Tech University Publications; News Media and District and University web pages. Directory information, which is information that is generally not considered harmful or an invasion of privacy if released, can also be disclosed to outside organizations without a parent’s prior written consent. Outside organizations include, but are not limited to, companies that manufacture class rings. If you do not wish TTU K-12 is disclose directory information from your child’s educational records without your prior written consent, you must notify the District by checking the appropriate box(es) during the enrollment process. Because of our asynchronous enrollment procedures, this information will be updated annually on April 15th of each year. TTU K-12 has designated the following information as directory information: student’s name, address, photograph, place of birth, publicity from participating in officially recognized activities, major field of study, dates of attendance, grade level, honors, awards received, and the most recent educational agency or institution attended. This action may be reversed at any time by the parent contacting the TTU K-12 Registrar in writing at ttuk12@ttu.edu. In compliance with FERPA, the student’s Social Security number or Student ID is required before releasing any personally identifiable or educational information to the student, counselors or parents.

YES

RELEASE OF GRADES/PROGRESS

YES

OR


OR

I am 18 or older. TTU K-12 is not authorized to release my progress/grades or discuss this information with anyone other than myself unless instructed to do so.—or only to those indicated below.

PARENT/GUARDIAN INFORMATION

Parent 1

Parent 2

Parent 3


BOOKS AND/OR MATERIALS ORDER INFORMATION

We provide CBE Review Sheets free of charge for every CBE we offer at: http://www.depts.ttu.edu/k12/current-students/forms/cbe-review-sheets/

You may purchase textbooks and/or materials through MBS Direct

MBS Direct
http://bookstore.mbsdirect.net/ttuk12.htm


Please mail or fax any student disabilities documentation information as soon as possible.

Mailing Address:
Attention: TTU K-12
Texas Tech University
PO Box 42191
Lubbock, TX 79409

Physical Address:
Attention: TTU K-12
TTU Plaza Building
1901 University Avenue, Suite 501
PO Box 42191
Lubbock, TX 79410

TTU K-12 Email:
ttuk12@ttu.edu

Fax:
Full-Time Diploma Program Students - (806) 742-7288
Supplemental/Part-Time Students - (806) 742-7222


Questions? Contact TTU K-12.

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