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Dual Enrollment Application

Name(Required)
MM slash DD slash YYYY
Gender(Required)
Does Florida College have permission to text your cell phone?(Required)
Home Address(Required)
Is the applicant Hispanic or Latino?
Type of High School(Required)

Please identify what type of school you attend.
City and State of High School(Required)
If you are applying as part of a homeschool co-op, please identify to which group you belong.
Year of Graduation from High School(Required)
Semester of Dual Enrollment at Florida College
Please select one or both of the semesters you plan to be enrolled in dual enrollment courses at Florida College.
Available Courses for Fall 2022(Required)
Please select which of the following available courses you are interested in taking in Fall 2022. Students may take up to two courses.
Available Courses for Spring 2023(Required)
Please select which of the following available courses you are interested in taking in Spring 2023. Students may take up to two courses.
Have you enrolled at Florida College before?(Required)
Parent or Guardian Name(Required)
GPA Scale of your High School(Required)
Have you taken the ACT, SAT, or CLT?(Required)
Some courses require minimum test scores to qualify. Official scores must be submitted to Liz Putman at putmane@floridacollege.edu.
Which test(s) have you taken?(Required)
Please select one or all that apply.
All Other AP, CLEP, AICE, Dual Enrollment Courses, or Other
Please list all other sources of college credit that you have taken for which you expect to receive college-level credit.
School Administrator or Guidance Counselor's Name(Required)
Please provide the name for your school administrator/guidance counselor to give permission for you to take dual enrollment and to provide your official school records. By providing this information, I am voluntarily waiving my right of access to any information contained on the permission form and agree that the completed form shall remain confidential.
Please provide the email address for your school administrator/guidance counselor to give permission for you to take dual enrollment and to provide your official school records. By providing this information, I am voluntarily waiving my right of access to any information contained on the permission form and agree that the completed form shall remain confidential.
Please provide the phone number for your school administrator/guidance counselor to give permission for you to take dual enrollment and to provide your official school records. By providing this information, I am voluntarily waiving my right of access to any information contained on the permission form and agree that the completed form shall remain confidential.
Name and School Grades for all Siblings Living at Home

Mailing Address
119 N. Glen Arven Ave.
Temple Terrace, FL 33617

Phone
813.988.5131

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