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High School Dual Enrollment Intent to Return Form
Esperanza College of Eastern University
Do you want to return to the High School Dual Enrollment program at Esperanza College of Eastern University?
*
Yes, I want to return for Fall 2025
No, I do not want to return for Fall 2025
Student Information
Student Name:
*
First Name
Last Name
Primary Number:
*
Email:
*
Email
Parent Information
Parent Name:
*
First Name
Last Name
Primary Number:
*
Email:
*
Email
School Information
Name of Current High School
*
Current Grade Level:
*
Please Select
9th
10th
11th
12th
Submit
Esperanza College of Eastern University
4261 N. 5th Street
Philadelphia, PA 19140
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