Dual Enrollment Application

Dual Enrollment Application

Completing this application is only the first step in the process. Your high school counselor will verify that you have met the requirements for dual enrollment including having a 2.0 GPA, passed all state tests, do not have attendance issues, and have no discipline infractions.
Student's Name*

First NameLast Name
Student's Personal Email*
example@example.com
Student's Phone Number*
Please enter a valid phone number.
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone Number*
Please enter a valid phone number.
Citizenship*

U.S. CitizenNon-Resident AlienPermanent Resident
Which High School do you attend?*
Current Grade Level*
High School Counselor's Name*

Program Times:


CTE Programs	Time
Automotive Collision Technology Technician	7:00 AM - 12:00 PM
Central Sterile Processing Technician	7:30 AM - 02:15 PM
Computer Systems & Information Technology	7:00 AM - 12:00 PM
Electrician	7:00 AM - 12:00 PM
Heating, Ventliation, Air-Conditioning/Refrigeration (HVAC/R)	7:00 AM - 12:00 PM
Marine Services Technologies	7:00 AM - 12:00 PM
Master Automotive Service Technology	7:00 AM - 12:00 PM
Medical Administrative Specialist	7:45 AM - 02:30 PM
Patient Care Technician	7:30 AM - 02:15 PM
Welding Technology	6:45 AM - 01:30 PM


Licensure Programs	Time
Aviation Airframe Mechanics	7:30 AM - 01:00 PM
Aviation Powerplant Mechanics	7:30 AM - 01:00 PM
Cosmetology	7:30 AM - 02:15 PM