Dual Enrolled Counselor Form

Dual Enrollment Counselor Approval Form

Dear Counselor: In order for your student to be admitted as a Dual Enrolled student we need your approval. Please complete the following form. Students will also need to submit official High School Transcripts as well as SAT/ACT or PAST scores to be considered.

Student Information

Student's First Name

Student's Last Name

High School

Entry Term and Year

Course Information

Students are not guaranteed a spot in the classes listed below. Courses entered below will be registered for by the student upon acceptance. Students may only register for two undergraduate courses per term (6 credit hours).

Course 1- Department, Title, and Course Number

Course 2 - Department, Title, and Course Number

Counselor Information

Name

Email

Date