You are considered a dual-enrolled student if you will be taking college courses while you are in high school (prior to graduating) and your high school participates in our dual enrollment program.
Participating high schools:
If you meet this criteria, please complete the application below.
Social Security Number:
The Federal Privacy Act of 1974 requires that you be notified that disclosure of your Social Security Number is voluntary and is not required to determine admission. Your Social Security Number will be used to match your application with your SAT/ACT Test Scores and/or Financial Aid information so failure to provide it may affect your eligibility for financial aid and may delay decision of admission. Your Social Security number is also used to report your educational expenses to the Internal Revenue Service to verify any education-related deductions you may claim on your federal income taxes.
Please select your gender
*Date of Birth: (MM/DD/YY)
Use the same address and phone number for the Parent/Guardian Section
*High School Name:
High School Address:
*Anticipated High School Graduation Date:
Select the semester and year you wish to enroll:
WebAdvisor will allow you to search for available courses
*Enter the Section Name and Title, Meeting Days/Time, Faculty Name, and Credits
(Example: ACC-1110-01 (27146) Prin of Acctg I, Tues & Thur 8:30 - 9:45 am, A. Havalchak, 3.00 credits)
We ask each applicant to provide information about his/her ethnic & racial background. We use this information solely to help us in determining whether the university is being successful in its efforts to assure equal opportunities to all persons. Please select the appropriate ethnic & racial identification below:
What is your ethnicity?
Hispanic or Latino
Not Hispanic or Latino
What is your race? Mark one or more races to indicate what you consider yourself to be:
American Indian or Alaska Native
Native Hawaiian or Pacific Islander
Black or African American
Send questions/comments to Rachel Green: firstname.lastname@example.org or call 570-662-4243