Dual Enrollment Form - Private/HomeSchool/OutOfCounty

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?*

Home SchooledPrivate School Student
County of Residence*

Anne ArundelPrince George's
What Private School do you attend?*

Saint Mary's Ryken High SchoolCalverton High SchoolSouthern Maryland Christian Academy
Student County of Residence*

CalvertCharlesSaint Mary'sAnne ArundelPrince George's
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
Student Phone Number*
Anticipated HS Graduation Date*

MonthDayYear
High School Grade*
e.g., Junior, Senior
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?*

County Board of EducationAn MSDE Approved Umbrella OrganizationMy program is not reviewed
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

Clear
High School Principal Signature

Clear
Umbrella Oversight/Review Confirmation

Clear
Counselor Notes/Course Suggestions
Should be Empty:

CSM Dual Enrollment Form