Dual Enrollment Form

CSM Dual Enrollment Form

For home-schooled, private-schooled, and out-of-county students. Both the student and a parent/guardian should be present when completing this form.
Are you applying for Dual Enrollment as a:
Which applies to you?
County of Residence

Other
What Private School do you attend?

Other
Student County of Residence
Student's Name

First NameMiddle NameLast Name
Student's Date of Birth

MonthDayYear
Student E-mail
Please provide your personal, non-High School email address
Parent/Guardian Name

First NameMiddle NameLast Name
Parent/Guardian E-mail
Student Phone Number
undefinedFormat: (000) 000-0000.
Anticipated HS Graduation Date

MonthDayYear
High School Grade
e.g., Junior, Senior
Semester/Year participating in the Dual Enrollment Program
Semester/Year Participating in the Dual Enrollment Program
Current Cumulative, Unweighted GPA
Out of 4.00
Who Conducts the Annual Review of your Homeschool Program?
To verify that your Umbrella Organization is approved by the Maryland State Department of Education, you can view the list of registered entities here.

If your umbrella organization does not appear on that list, please select "My program is not reviewed" for the previous question.
Umbrella Organization Name
Umbrella Organization Contact Email
Board of Ed Contact Name
Board of Ed Contact Email
High School
High School Counselor
High School Counselor Email
High School Principal
High School Principal Email
Dean of Academics
Dean of Academics Email
Calverton HS Upper School Head
Calverton HS Upper School Head Email
Please share with us your academic goals for the future:
Which Specific CSM Courses are You Interested in Taking?
Upload PDFs of Your High School Transcript/SAT/ACT scores

Browse Files
If you attend Calverton High School, St. Mary's Ryken High school, or Southern Maryland Christian Academy, please upload a copy of your high school transcript here. You can complete this dual enrollment form without uploading these files, but you will be expected to email a copy of your transcript and/or test scores to an enrollment coordinator before your application can be processed. Cancelof
Student Signature
Parent/Guardian Signature
High School Counselor Signature
High School Principal Signature
Umbrella Oversight/Review Confirmation
Counselor Notes/Course Suggestions
Should be Empty:

CSM Dual Enrollment Form