CCP Special Permission Form

Career and College Promise Special Permission Form
Name*

First NameMiddle NameLast Name
High School Type*

PublicPrivateHomeCharter
High School Name*
Current Grade*

9th Grade10th Grade11th Grade12th Grade
Special Permission Requested For
Please Select One of the Following - More Information will be Requested Below*

Permission to Enroll in a Career and Technical Education Pathway or Workforce Continuing Education Pathway with an unweighted GPA below the minimum 2.8 requirement.Permission to change from One Pathway/Code to another Pathway/CodePermission to enroll in two (2) Career and Technical Education Pathways or Workforce Continuing Education pathwaysPermission to enroll in one (1) College Transfer Pathway and one (1) Career and Technical Education Pathway or Workforce Continuing Education PathwayPermission to continue taking college courses that lead to completion of the associated degree or diploma for my current college transfer or career and technical education pathway.
Typed Rationale for Recommendation from Principal or Designee*
Current Pathway/Code that Needs to be Changed*
New Pathway/Code*
Provide Rationale for Change and attach supporting documentation; for example: bachelor degree plan from university, career pathway plan, information in NC Career Cluster Guide, etc. *
Upload Supporting Documentation*

Cancelof
Pathway/Code One*
Pathway/Code Two*
Pathway/Code One*
Pathway/Code Two*
Pathway/Code*
I certify that the rationale supporting my recommendation and/or supporting documentation is provided for approval consideration.
Principal/Designee Signature*

Clear
Date*

MonthDayYear
Date
Principal/Designee Email Address (for notification purposes)*
example@example.com
All the completed paperwork needs to be submitted to your respective county’s representative identified below:
- Franklin County Students: Evangeline Mitchell – mitchelle@vgcc.edu
- Granville County Students: Reba Bullock – bullockr@vgcc.edu
- Vance County Students: Kierra Robinson – robinsonk@vgcc.edu
- Warren County Students: Taylor Williams – williamst@vgcc.edu
- CCP Liasion for J.F. Webb, SGHS, GCHS, OPS: Connie Ragland – raglandc@vgcc.edu
CCP Liaison Email Address - Please select one from the list above*
example@example.com

VGCC Verification
Recommendation

Recommended ApproveRecommended Disapprove
Signature

Clear
Chief Academic Officer's Email Address
example@example.com
Explain why you are recommending disapproval

Submission Section
Should be Empty:

Career and College Promise Special Permission Form

Special Permission Requested For