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Apply

To submit an application to our school, please complete the following form and select Submit Application.

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Application for Dual Enrollment Students

Personal Information

First Name
Middle Name
Last Name
Suffix
Date of Birth
SSN (Secured)

Address Information

Addresses

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Address Type
Address Line 1
Address Line 2
City
State/Province
Postal Code
Country

Contact Information

E-mail Address

Phone Numbers (Exclude Country Code)

Phone Type	Country	Phone Number	Primary

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Demographic Information

Gender
Ethnicity
Religion

Ethnicity and Race Information

Are you of Hispanic/Latino ethnicity or descent? Yes No

Select one or more races with which you identify yourself:
American Indian or Alaskan Native

Asian

Black or African American

Hawaiian Native or Other Pacific Islander

White

Academic Information

Anticipated Enrollment Term

Grade Level at Anticipated Enrollment Term

Academic Interests

Please select only one Academic Interest. If you are unsure please select Undecided.

Interests
- Accounting
- Advertising
- Biology
- Business
- Calculus
- Chemistry
- Child Ministry
- Christian Studies
- Communication
- Counseling
- Criminal Justice
- Early Childhood Ed
- Education
- English
- Finance
- Foreign Languages
- General Studies
- History
- Humanities
- Interdisciplinary St
- Journalism
- Law
- Marketing
- Math
- Ministry
- Missions
- Modern Languages
- Music
- Music Ministry
- Nursing
- Physical Education
- Physical Therapy
- Political Science
- Pre Dentistry
- Pre Law
- Pre Med
- Pre Pharmacy
- Psychology
- Public Relations
- Sales Marketing
- Science
- Social Science
- Social Work
- Sociology
- Spanish
- Special Ed
- Speech Communication
- Sports Management
- Sports Medicine
- Teaching
- Theology
- Undecided

Emergency Contacts

Contacts

Add Another Contact
1. First Name
2. Middle Name
3. Last Name
4. Relationship
5. Phone Number

Are You Homeschooled

Education History

If you are homeschooled, please put the name of the homeschool in the High School Name field.

Degrees

Add Another Degree
1. High School Name
2. ETS Code Search
3. City
4. State
5. Country
Institution Name

ETS Code

City

State

Country

Source

How Did You Hear About Us?

School Policy

Select "I accept" to confirm that you have read and fully understand the terms and conditions set forth in our Application Policy

Policy I do not accept I accept

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