{"id":121,"date":"2023-07-03T07:22:40","date_gmt":"2023-07-03T14:22:40","guid":{"rendered":"https:\/\/forms.bellevuecollege.edu\/hpm\/?page_id=121"},"modified":"2023-12-20T17:18:10","modified_gmt":"2023-12-21T01:18:10","slug":"health-promotion-and-education-bas-acceptance-form","status":"publish","type":"page","link":"https:\/\/forms.bellevuecollege.edu\/hpm\/health-promotion-and-education-bas-acceptance-form\/","title":{"rendered":"Health Promotion and Education BAS Acceptance Form"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_25' >\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_25'  action='\/hpm\/wp-json\/wp\/v2\/pages\/121' data-formid='25' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_25' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_25_1\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_25_1'>ctcLink ID Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_25_1' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_25_3\" class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_25_3'>\n                            \n                            <span id='input_25_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.3' id='input_25_3_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_25_3_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_25_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.6' id='input_25_3_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_25_3_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_25_4\" class=\"gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_25_4'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_25_4' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_25_5\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_25_5'>Desired Enrollment<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_5' id='input_25_5' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Full-Time (12+ Credits per quarter)' >Full-Time (12+ Credits per quarter)<\/option><option value='Part-Time (11 credits or less per quarter)' >Part-Time (11 credits or less per quarter)<\/option><\/select><\/div><\/div><fieldset id=\"field_25_6\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Acknowledgement A<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_25_6'>I acknowledge that my admission is contingent upon the completion of any remaining prerequisite and corequisite coursework required for the Program. If applicable, uncompleted coursework will be outlined by the Program Manager. All transcript evaluations are considered unofficial until completed by the Evaluations department<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_25_6'><div class='gchoice gchoice_25_6_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_6.1' type='checkbox'  value='I agree'  id='choice_25_6_1'   aria-describedby=\"gfield_description_25_6\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_25_6_1' id='label_25_6_1' class='gform-field-label gform-field-label--type-inline'>I agree<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_25_7\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Acknowledgement B<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_25_7'>I acknowledge that I must meet with my Program Manager to confirm my educational plan to complete my degree requirements. This meeting will be a virtual Microsoft Teams meeting or phone call. You will receive information on how to schedule an appointment with the Program Manager. Any changes to my educational plan must be discussed with the Program Manager and approved in writing. Deviating from my education plan without express written permission may result in being dropped from unapproved courses and\/or disciplinary action up to and including dismissal from the Program.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_25_7'><div class='gchoice gchoice_25_7_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.1' type='checkbox'  value='I agree'  id='choice_25_7_1'   aria-describedby=\"gfield_description_25_7\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_25_7_1' id='label_25_7_1' class='gform-field-label gform-field-label--type-inline'>I agree<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_25_8\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Acknowledgement C<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_25_8'>I acknowledge that I must start the Program in the quarter for which I have been accepted and failure to do so may result in dismissal from the Program. If I wish to delay starting the Program, I will notify the Program, which may, in its discretion, move my application to the following admission cycle. I understand that I am not guaranteed admission in the following admission cycle.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_25_8'><div class='gchoice gchoice_25_8_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.1' type='checkbox'  value='I agree'  id='choice_25_8_1'   aria-describedby=\"gfield_description_25_8\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_25_8_1' id='label_25_8_1' class='gform-field-label gform-field-label--type-inline'>I agree<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_25_9\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Acknowledgement D<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_25_9'>I agree to conform to the policies, rules and regulations of Bellevue College as well as the policies and procedures described in the Student Handbook for the Program and that these may change from time to time. Students are responsible for familiarizing themselves with current policies, procedures and rules. The Program has the right to change the handbook without notice. It is understood that future changes in the handbook supersede or eliminate those outlined in this current handbook, and that students and faculty will be notified as soon as practical.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_25_9'><div class='gchoice gchoice_25_9_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.1' type='checkbox'  value='I agree'  id='choice_25_9_1'   aria-describedby=\"gfield_description_25_9\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_25_9_1' id='label_25_9_1' class='gform-field-label gform-field-label--type-inline'>I agree<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_25_10\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Acknowledgement E<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_25_10'>I Acknowledge that in order to maintain my active status in the Program I must maintain an educational plan of at least at least 10 credits per quarter and no more than 15 credits per quarter, unless expressly approved in writing by the Program Chair.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_25_10'><div class='gchoice gchoice_25_10_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_10.1' type='checkbox'  value='I agree'  id='choice_25_10_1'   aria-describedby=\"gfield_description_25_10\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_25_10_1' id='label_25_10_1' class='gform-field-label gform-field-label--type-inline'>I agree<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_25_11\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Acknowledgement F<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_25_11'>I acknowledge that completion of the Program is contingent on completing all coursework with a \u2018C\u2019 grade (2.0) or higher unless otherwise specified on the course description or prerequisites listed.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_25_11'><div class='gchoice gchoice_25_11_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_11.1' type='checkbox'  value='I agree'  id='choice_25_11_1'   aria-describedby=\"gfield_description_25_11\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_25_11_1' id='label_25_11_1' class='gform-field-label gform-field-label--type-inline'>I agree<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_25_12\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Acknowledgement G<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_25_12'>I understand that it is my responsibility to keep my contact information up to date and to check my BC email regularly in order to receive important program information. Furthermore, I understand that faculty and staff will not respond or communicate via personal email addresses.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_25_12'><div class='gchoice gchoice_25_12_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.1' type='checkbox'  value='I agree'  id='choice_25_12_1'   aria-describedby=\"gfield_description_25_12\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_25_12_1' id='label_25_12_1' class='gform-field-label gform-field-label--type-inline'>I agree<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_25_13\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Acknowledgement H<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_25_13'>I acknowledge that I have access to the minimum hardware, software, accessibility and skill set requirements listed in the Technology Requirements.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_25_13'><div class='gchoice gchoice_25_13_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.1' type='checkbox'  value='I agree'  id='choice_25_13_1'   aria-describedby=\"gfield_description_25_13\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_25_13_1' id='label_25_13_1' class='gform-field-label gform-field-label--type-inline'>I agree<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_25_14\" class=\"gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_25_14'>Acceptance<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_14' id='input_25_14' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='I ACCEPT your offer of admission to the Health Promotion &amp; Education BAS program' >I ACCEPT your offer of admission to the Health Promotion &amp; Education BAS program<\/option><option value='I DECLINE your offer of admission to the Health Promotion &amp; Education BAS program' >I DECLINE your offer of admission to the Health Promotion &amp; Education BAS program<\/option><\/select><\/div><\/div><div id=\"field_25_15\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >Please go to the following link and complete the \n<a href=\"https:\/\/bellevuecollege.tfaforms.net\/217752\" target=\"_blank\">Online Photo Release Form<\/a><\/div><fieldset id=\"field_25_16\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Photo Release<\/legend><div class='gfield_description' id='gfield_description_25_16'>Please complete the photo release linked above and check the box below when it is complete.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_25_16'><div class='gchoice gchoice_25_16_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.1' type='checkbox'  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