Dual Enrollment Scholars Academy

The Department of Academic Engagement & Community Partnerships is pleased to offer you an opportunity to participate in the Dual Enrollment Scholars Academy.

Personal Information

First Name

Preferred First Name

Last Name

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Student Email Address (Please do not use a school email).

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Yes

No

Student Mobile Number

Academic Information

High School Currently Attending

Ceeb Code (hidden)

Intended Major (Optional)

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Parent Information

Communication will need to sent to a parent/guardian to participate in program.

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email
Please enter only one email.

Parent Mobile Number