Homeschool Certificate Please complete this form after you have graduated.

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1 Homeschool Certificate Please complete this form after you have graduated. To be eligible for admission into a degree or certificate program and to receive federal student aid, a student must have a high school diploma or General Education Development (GED) certificate, meet other state standards that are approved by the U.S. Department of Education, or complete a high school education in a homeschool setting that is treated as a homeschool or private school under state law. Please provide evidence that you have completed your secondary education in a homeschool setting, or have satisfied the homeschool completion requirements of the state in which you were homeschooled, by selecting one of the choices below. You may also wish to describe the nature of your secondary education or attach a copy of other appropriate documentation. Please select one of the two options below: I was homeschooled and have a secondary school completion credential for homeschool provided under state law. I was homeschooled, but my state does not require a homeschooled student to obtain the credential described in the above option; furthermore, I have completed a secondary school education in a homeschool setting that is not considered to be in violation of the state s truancy laws. (Connecticut homeschoolers can check this option; homeschoolers from all other states should verify said state s laws.) Date of graduation: / / I certify that the information provided on this form and on any attachment is correct and complete to the best of my knowledge. If admitted, the applicant is willing to abide by all rules and regulations of the college and recognizes that any misleading information given to the college may be cause for dismissal. A parent s signature is required if the applicant is under 18 years of age. Student Name: Date of Birth: / / Banner Student Signature Date: / / Parent Signature (If student is under 18) Date: / / Submit to the Office of Admissions upon completion Northwestern Connecticut Community College Office of Admissions Park Place East Winsted, CT Fax: (860) admissions@nwcc.edu

2 College Preparatory Curriculum (CPC) Listed below are recommended courses for home schooled students applying to Northwestern Connecticut Community College (NCCC). These recommendations are based on the State of Connecticut Board of Higher Education Common Core of Learning Standards and the graduation requirements of area high schools. ACADEMIC AREAS (Required Units) CONTENT English (4 Units) Grammar and Usage American and World Literature Advanced Composition Skills Mathematics (3 Units) Algebra I Geometry Algebra II Advanced Mathematics Computer (1/2 Unit) Computer (1/2 credit) Natural Science (2 Units) Biology with Lab Physical Science Chemistry with Lab Social Studies (3 Units) U.S. History I & II World History Economics & Government Foreign Language (2 Units) Must be in the same language. Vocational Education/the Arts (1 Unit) Physical Education (1 Unit) Health (1 Unit) Must include Substance Abuse Education Additional Electives (6 ½ Units)

3 Home-Educated College Preparatory Credit Evaluation Student Name: Social Security: Graduation Date: _ Please complete this worksheet and submit it in addition to your completed Northwestern Connecticut Community College (NCCC) Application for Admission. I have submitted an online application for admission to NCCC. I completed and mailed a paper application for admission to NCCC. You may attach additional sheets to list your completed subjects or supplemental explanations, including, but not limited to: reading lists major projects exceptional learning experiences internships You may also include a separate sheet indicating coursework completed in each subject area and include: subject title course description texts used primary instructor Subject English (4 Units) Grammar and Usage American English World Lit. / British Lit Advanced Composition Mathematics (3 Units) Algebra I Algebra II Geometry Advanced Mathematics

4 Subject Computer (1/2 Unit) Computer Natural Science (2 Units) Physical Science Biology with Lab (required) Chemistry with Lab Social Studies (3 Units) U.S. History I (required) U.S. History II (required) World History Economics & Government Foreign Language (2 Units) (Must be in the same language.) First Year Second Year Vocational Education/the Arts (1 Unit)

5 Subject Physical Education (1 Unit) Health (1 Unit) Substance Abuse Education Additional Electives (6 ½ Units) Completed by: Date: