Attendance at Chipola College is a privilege, and in order to maintain the College ideals of scholarship, character and personality, the right is reserved to require the withdrawal of any student at any time for violation(s) of College policy, procedure, State Board Rule(s) and State of Florida Law. Each student, by registering, assumes the responsibility to become familiar with and to abide by the general regulations and rules of conduct. Rules of conduct are outlined in the student handbook. Handbooks are available at various locations throughout the college.
Notice of Equal Access/Equal Opportunity and Nondiscrimination
Chipola College does not discriminate against any persons, employees, students, applicants or others affiliated with the college with regard to race, color, religion, ethnicity, national origin, age, veteran’s status, disability, gender, genetic information, marital status, pregnancy or any other protected class under applicable federal and state laws, in any college program, activity or employment.
Title IX of the Education Amendments of 1972 (20 U.S.C. ss1681) is an all-encompassing federal law that prohibits discrimination based on the sex of students, employees, and third parties when appropriate, of educational institutions, which receive federal financial assistance. Sexual harassment of students, which includes acts of sexual violence, is a form of sex discrimination prohibited by Title IX. Chipola College complies with all aspects of this and other federal and state laws regarding non-discrimination.
Questions about compliance with Title IX or a complaint regarding harassment or discrimination, including sexual harassment and sexual violence, should contact the College’s Equity Officer and Title IX Coordinator:
Wendy Pippen, Associate Vice President of Human Resources, Equity Officer and Title IX Coordinator, 3094 Indian Circle, Marianna, FL 32446, Building A, Room 183A, 850-718-2205, email@example.com
I certify that all information given on this application is complete and accurate. I understand that any misrepresentation of facts may result in the immediate cancellation of my registration and my credits earned.
I understand and agree that I will be bound by the College's regulations as published in the College Catalog and the College Handbook.
I understand that Chipola College collects Social Security Numbers as authorized by Florida Statutes (1008.386) as a means of student identification to avoid duplication, and other uses such as the Hope Tax Credit (USC Title 26) and Financial Aid processing (34 CFR, Sect. 668.36). The IRS requirement makes it necessary for colleges to collect the Social Security Number of every student. A student may refuse to disclose his/her Social Security Number to the College, but refusing to comply with the federal requirement may result in fines established by the IRS.
In compliance with Florida Statute 119.071(5), the college collects my Social Security Number for use in the performance of the College's duties and responsibilities.
I understand that Chipola College's Drug Free Policy requires that the applicant pledge not to possess, sell, purchase, deliver, use, manufacture, or distribute illegal drugs or controlled substances while present on Chipola College's campuses or in attendance at any College-sponsored event.
I agree to the release of any transcripts and test scores to this institution, including any score report that this institution may request from the College Board, ACT or FLDOE.
By submitting this form, I hereby agree to abide by the above mentioned College policy, procedure, State Board Rule(s) and State of Florida Law.
Submission of this form constitutes a legally binding "Electronic Signature" which will be stored in the Chipola College Student Records System in association with this Application for Admission.