CAP - Online Course Request

Upon submission, you will receive a copy of this request in your email.

Ideally, you will submit this form once, with all requests for USI courses at your home high school and any half-day program you attend. If needed, you can submit this form again by visiting the CAP website.

*indicates required fields

*Legal First Name

Middle Name

*Legal Last Name

*Personal Email Address

*School Email Address

*Birthdate

*Select your home high school from the following list.

*What is the name of your home high school?

*Do you plan to take a CAP course at a location other than your home high school?

Yes

No

*What other school do you attend?

*Select the appropriate program you participate in:

Architecture & Engineering Design Technology

Central Nine Career Center: Exercise Science

Health Sciences: Exercise Science

Health Sciences: Pre-Professional

Media Communications & Broadcasting

*When do you attend SICTC?

AM

PM

*What year are you in the program?

Year 1

Year 2

*What is your emphasis area?

Architectural Design

Mechanical Design

You are being registered in a group of dual credit courses based upon your CTE pathway and year in the program. All courses must be selected to submit this form. Should you decide that you do not want to be registered in a particular course, you must email the CAP Office (cap@usi.edu) by September 13 to request removal and provide your name and the specific USI course name (example KIN 281).

*Since you are in the Media Communications & Broadcasting program, you will be registered in a specific course. Select the course below and continue.

RTV 150.C23 (Bootz, Jo Beth) Year-Long, CPE, 50313

*If you are in year one, you will be registered in multiple courses. The first is below. Select the course below and continue on to select the next course.

KIN 188.C21 (Rund, Mark) Year-Long, CPE 50239

ENGR 121.C20 (Reidford, Emily) Year-Long, CPE, 50309

HP 211.C23 (Pruitt, Angela) Year-Long, CPE, 52275

HP 211.C22 (Fleenor, Tonya) Year-Long, CPE, 51479

KIN 281.C21 (Stucki, Julie) Year-Long, CPE, 51482

*Since you are in year one of the program, you also need to be registered for the course below. Select the course to continue to complete your online course request.

KIN 281.C22 (Rund, Mark) Year-Long, CPE, 50240

MFET 103.C20 (Reidford, Emily) Year-Long, CPE, 50311

KIN 192.C21 (Pruitt, Angie) Year-Long, CPE, 52262

KIN 192.C20 (Fleenor, Tonya) Year-Long, CPE, 52263

KIN 282.C22 (Stucki, Julie) Year-Long, CPE, 51485

*Since you are in year one of the program, you also need to be registered for the course below. Select the course to continue to complete your online course request.

KIN 282.C21 (Rund, Mark) Year-Long, CPE, 50238

HP 115.C21 (Pruitt, Angie) Year-Long, CPE, 51475

HP 115.C26 (Fleenor, Tonya) Year-Long, CPE, 51477

KIN 188.C20 (Stucki, Julie) Year-Long, CPE, 51480

*If you are in year two, you will be registered in specific courses. Select the course below and continue on.

KIN 281.C20 (Barnett, Gwen) Year-Long, CPE, 51481

KIN 281.C23 (Fleenor, Tonya) Year-Long, CPE, 51483

ME 121.C20 (Reidford, Emily) Year-Long, CPE, 50310

CE 321.C20 (Beadles, Andy) Year-Long, CPE, 50308

EXSC 396.C20 (Stucki, Julie) Year-Long, CPE, 52234

*Since you are in year two of the program, you also need to be registered for the course below. Select the course to continue to complete your online course request.

HP 211.C20 (Barnett, Gwen) Year-Long, CPE, 51478

HP 211.C22 (Fleenor, Tonya) Year-Long, CPE, 51479

I do not want USI credit for HP 211 - I earned Ivy Tech HLHS 100 last school year

Since you are in the first year of the Health Science Pre-Professional Program at SICTC, you should pay close attention to any dual credit coursework that you have registered for through Ivy Tech. USI's HP 211 is equivalent to Ivy Tech's HLHS 100 and would be a duplicate course for you if you already have earned this credit through Ivy Tech or are registered in it. If you have questions, connect with your teacher for additional information.

*Do you need to sign up for coursework at your home high school in addition to your SICTC CAP courses?

Yes

No

*What CAP course are you requesting? If you are signing up for more than one course, you will be asked for additional course(s) below.

Courses will appear based on where you indicated you were taking CAP coursework.

*Are you requesting another USI CAP course this semester?

Yes

No

*What is the second CAP course are you requesting? If you are signing up for more than one course, you will be asked for additional course(s) below.

Courses will appear based on where you indicated you were taking CAP coursework.

*Are you requesting a third USI CAP course this semester?

Yes

No

*What is the third CAP course are you requesting? If you are signing up for more than one course, you will be asked for additional course(s) below.

Courses will appear based on where you indicated you were taking CAP coursework.

*Are you requesting a fourth USI CAP course this semester?

Yes

No

*What is the fourth CAP course are you requesting? If you are signing up for more than one course, you will be asked for additional course(s) below.

Courses will appear based on where you indicated you were taking CAP coursework.

*Are you requesting a fifth USI CAP course this semester?

Yes

No

*What is the fifth CAP course are you requesting? If you are signing up for more than one course, you will be asked for additional course(s) below.

Courses will appear based on where you indicated you were taking CAP coursework.

*Are you requesting a sixth USI CAP course this semester?

Yes

No

*What is the sixth CAP course are you requesting? If you are signing up for more than one course, you will be asked for additional course(s) below.

Courses will appear based on where you indicated you were taking CAP coursework.

*Are you requesting a seventh USI CAP course this semester?

Yes

No

*What is the seventh CAP course are you requesting?

Courses will appear based on where you indicated you were taking CAP coursework.

Juniors and Seniors: To enroll in CAP for the first time, you must have a cumulative GPA of 2.5, unrounded, on a 4.0 scale.Some CAP courses have additional course prerequisites. If you are a returning CAP student, your GPA was verified upon your acceptance into the program.

Sophomores: To enroll in CAP, you must have a cumulative GPA of 3.0, unrounded, on a 4.0 scale and permission from a counselor or instructor (collected by CAP Office on your behalf). Some CAP courses have additional course prerequisites.

Do you have the required GPA? Your GPA will be verified by your school prior to registration.

Juniors and Seniors: To enroll in CAP for the first time, you must have a cumulative GPA of 2.5, unrounded, on a 4.0 scale.Some CAP courses have additional course prerequisites. If you are a returning CAP student, your GPA was verified upon your acceptance into the program.

Sophomores: To enroll in CAP, you must have a cumulative GPA of 3.0, unrounded, on a 4.0 scale and permission from a counselor or instructor (collected by CAP Office on your behalf). Some CAP courses have additional course prerequisites.

Do you have the required GPA? Your GPA will be verified by your school prior to registration.

Yes

No

Not Sure

Please confirm your cumulative GPA with your counselor. If it is below the required 2.5, you will not be able to move forward with registration in a CAP course.

FERPA Information

In compliance with the Family Educational Rights and Privacy Act of 1974, the University of Southern Indiana does not release grade, academic progress or billing information without student consent. This information is confidential. Therefore, if you wish to allow your CAP instructor to discuss your CAP grade or CAP academic progress with your parents or other designee, or if you wish to allow USI employees to discuss your billing with your parents or other designee, you must agree to the statement below and specify who is authorized on your behalf.

I authorize my CAP instructor to discuss my CAP grade and/or CAP academic progress with the person(s) I will indicate on the next screen. I authorize USI employees to discuss my billing details with the same person(s). I understand this consent will remain in effect through the end of the term the course began or until rescinded by myself in writing to the CAP Office (cap@usi.edu).

Yes

No

*Provide the name of the parent/guardian you wish to release your FERPA rights to and indicate their relationship to you:

*First Name

*Last Name

*Relationship

*Provide the relationship of the person you are releasing your FERPA rights to:

*Do you have an additional person you would like to release your FERPA rights to?

Yes

No

*Provide the name of the second parent/guardian you wish to release your FERPA rights to and indicate their relationship to you:

*First Name (Second Parent/Guardian for FERPA)

*Last Name (Second Parent/Guardian for FERPA)

*Relationship (Second Parent/Guardian for FERPA)

*Provide the relationship of the second person you are releasing your FERPA rights to:

Hit 'Submit' below to complete requesting your CAP course(s). The CAP Office will review your request and register you in the course if you meet the enrollment criteria.

A summary of your course request will be sent to the email address you provided. This is not proof of enrollment, but instead is a record of your request to be registered in the CAP course.

If registered, an enrollment verification will be distributed to you at school by your CAP instructor in several weeks. To submit another online course request, visit USI.edu/cap/apply.

To view additional details about the courses available at your school, visit www.usi.edu/cap/schools.