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I grant permission for_________________________________ to take courses through the Penn State Fayette Commonwealth Program and I verify that:

High school seniors have a minimum cumulative grade point average of 3.0.

High school juniors and underclassman have a minimum cumulative grade point average of 3.0, and a standardized test score.

________________________________________ ______________________
Guidance Counselor Signature                                Date

________________________________________ ______________________
Print Guidance Counselor Name                             Phone

________________________________________
School Name

Guidance Counselors:

Please submit this form and the student’s official high school transcript to the Admissions Office at Penn State Fayette. For Juniors and underclassman, please submit standardized test score and current schedule.

By fax to: 724-430-4175

Or by mail to: Penn State Fayette, The Eberly Campus
Admissions Office/Dual Enrollment
2201 University Dr.
Lemont Furnace, PA 15456