Dual Enrollment Summer Scholarship Application

2024-25 Dual Enrollment Summer Scholarship Application
Earn the opportunity to take course(s) at the Dual Enrollment rate of $99/credit, inclusive of all fees.

Scholarship Eligiblity Criteira:
- Student must be registered for a dual enrollment course in fall and/or spring (2024-2025).
- The summer course(s) must be immediately following the academic school year in which the student took the dual enrollment course.
- Student must fill out an application to be eligible. Scholarship is available as funding permits.
- Completing this form does not mean that you are automatically registered for a summer course. Students must contact kmarcinko@racc.edu or nhilberg@racc.edu to register for classes.
Name:*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email*
example@example.com
Date of Birth

MonthDayYear
High School *
Dual enrollment course(s) you are enrolled in:*
Summer course(s) you are registering for:*
Total number of college credits (summer):*
Let us know you are a human.*
Should be Empty: