Permission to attend PCC classes

To be completed by an education official only (i.e., student’s school counselor, administrator, education service district employee)

"*" indicates required fields

Student's information

Student's name*
Student's date of birth*

Education official's information

Please check one of the following*
Education official’s name*
(note: must be from a work email, i.e., ends in .edu, .org, or
(note: course prerequisites and placement requirements still apply)
This field is for validation purposes and should be left unchanged.