Dual Enrollment Registration Request

Office of School & College Partnerships

Email: dualcredit@brazosport.edu Phone: 979-230-3633
Dual Enrollment Registration Request
Semester:
Student Information
Full Name

First NameLast Name
BC ID#
*Must be 9 digits
High School
Grade Level
*Summer & Fall- grade you are going into / *Spring- grade you are currently in
Personal Email
(Do not use high school email)
Cell Phone
Please enter a valid phone number.
*Click here to view available schedule in order to complete the table below.

COURSE SELECTION

FAMILY EDUCATION RIGHTS & PRIVACY ACT (FERPA)

I hereby voluntarily authorize officials at Brazosport College (BC) to release FERPA protected educational records to the designated individual(s) listed below:
Person 1:

Full NameRelation
Person 2:

Full NameRelation
Student Signature

*I agree to be enrolled in the courses listed above. I understand that I am not officially enrolled until all requirements have been met. Clear
BELOW THIS LINE TO BE FILLED OUT BY SHARED COUNSELORS

Student Information