Temple University Dual Admissions - Intent to Enroll Form

Name*

First NameLast Name

Birthdate*

Date

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Cell (Mobile) Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

May Temple University text information regarding our programs and admissions process (normal text and data rates may apply)?*

YesNo

Email*

example@example.com

Have you attended a previous college?*

YesNo

If yes, what institution(s)?

Do you currently have more than 30 total graded credits completed (from all colleges and universities attended)? If "yes," then you cannot qualify for Dual Admissions to Temple University.*

YesNo

Are you a previous Temple University student? If "yes," then you cannot qualify for Dual Admissions to Temple University.*

YesNo

Program of Study at CSM*

Expected Graduation Semester/Year*

Intended Major of Study at Temple University *

This program does not apply to competitive majors (art, architecture, music, dance, pharmacy, nursing, and health information management, which have additional admissions requirements. Visit here to view current programs: https://www.temple.edu/academics/degree-programs

Intended Enroll Semester at Temple University*

Spring or Fall of (Write Year)

*By signing this form, I state that it is my wish to enroll in the Dual Admissions program with Temple University. This program allows me to be admitted to Temple upon successfully completing my associate of science (A.S.) or associate of arts (A.A.) degree at Temple’s partner school while also meeting all admissions criteria. I understand that I must complete and return this Dual Admissions Intent to Enroll Form before I have reached 30 graded college-level semester credits (at all institutions) and that Temple University reserves final decision on qualification for the program at the time of application for admission. I understand that I must apply to Temple as a Dual Admissions applicant and that I will have my application fee waived. I authorize my current school and Temple University to exchange relevant information as needed. I understand that it is my responsibility to apply for graduation at my current school, have to apply to Temple within one year of graduation from the partner institution, and that I cannot attend another institution of higher learning before I enroll at Temple University. I understand that any scholarships will only be awarded when Temple University receives proof of my graduation on an official transcript. Any violations of these terms could result in the termination of the applicant from the Dual Admissions program.