St. Mary's Dual Enrollment Form

College of Southern Maryland

St. Mary's County Public School Dual Enrollment Form

(This form is intended for students who want to take classes through CSM directly. This form is not for registering for the dual option for classes offered in the high school.)
Student Information

Please provide the required information below.
Student Name*

First NameMiddle NameLast Name
Student Date of Birth*

MonthDayYear
Student Phone Number*

Area CodePhone Number
Student E-mail*
Please provide your personal, non-High School email address

High School Information

Please provide the required information below.
Student's St. Mary's County High School*
Chopticon High School Counselor*
Great Mills High School Counselor*
Leonardtown High School Counselor*
Student's Anticipated HS Graduation Date*

MonthDayYear
High School Grade*
Semester/Year Participating in the Dual Enrollment Program*
Current Cumulative Unweighted GPA*
Out of 4.00
Please check if this student is eligible for Free and Reduced meals. Students who are eligible will have tuition waived. (Status will be verified by High School Counselor)*

Yes, student is eligible.No, student is not eligible.
For the next question, please refer to the linked document:
St. Mary's County Approved Courses for Dual Enrollment
Which CSM courses are you interested in taking?*

Document Uploads and Signatures

Please upload the requested documents and sign in the appropriate places.
Please use the upload feature below to upload a recent copy of your high school transcript. If you are supplementing your transcript with SAT or ACT scores, you can upload a copy of your SAT/ACT score report here as well.

You are able to complete and submit this form without uploading these files at this moment, but you will be required to submit these documents to your Enrollment Coordinator before your application can be processed.
Upload PDF file of your High School transcript, SAT/ACT scores

Browse Files
Your HS transcript can be accessed through your HS account. SAT/ACT scores can be accessed through their respective accounts. Cancelof
Student Signature*
Parent/Guardian Signature*
High School Counselor Signature

Clear
High School Principal Signature

Clear
Counselor Notes/Course Suggestions
Should be Empty:

College of Southern Maryland