Dual Enrollment

Student Personal Information

* Denotes Required Field

Name First *

Middle Name

Last Name *

Student Email Address *

Student Birthdate *

Gender *

Social Security Number (Omit dashes) *

Is the applicant Hispanic or Latino? *

Select one or more of the following races (optional):

Student Contact Information

Primary Phone *

Student Cell Phone *

Does Florida College have permission to text your cell phone?

Home Address *

Country

Street

City

Region

Postal Code

Family Information

Parents are:

Do you currently reside with a male parent/guardian: *

Please provide information on your male parent/guardian:

Male Guardian Type: *

First Name: *

Last Name: *

Is this parent/guardian a Florida College alumnus? *

Is your parent a full time employee of Florida College or Florida College Academy? *

Yes

No

Do you currently reside with a female parent/guardian: *

Female Guardian Type: *

First Name: *

Last Name: *

Maiden Name:

Is this parent/guardian a Florida College alumnus? *

Is your parent a full time employee of Florida College or Florida College Academy? *

Yes

No

Parental Contact Information

Parent Phone Number *

Parent Email Address *

Sibling Information - Junior High and High School Age

Sibling 1 First Name

Sibling 1 Last Name

Sibling 1 Birthdate

Do you have any other siblings to add?

Yes

No

Sibling 2 First Name

Sibling 2 Last Name

Sibling 2 Birthdate

Do you have any other siblings to add?

Yes

No

Sibling 3 First Name

Sibling 3 Last Name

Sibling 3 Birthdate

Do you have additional siblings to add?

Yes

No

Sibling 4 First Name

Sibling 4 Last Name

Sibling 4 Birthdate

Academic Selection

Please indicate the semester you plan to begin taking dual enrollment courses at Florida College.

Fall 2024

Spring 2025

Additional Information

How did you hear about Florida College Dual Enrollment?

Have you ever attended Florida College Camp? *

What is the name of the congregation you most regularly attend? *

High School Information

Type of High School *

If you are applying as part of a homeschool co-op, please identify to which group you belong.

Describe Other

High School Name
(Start typing and select from the list)

Month and Year of High School Graduation *

What GPA Scale does your High School use (ie. 4.0, 5.0, 100)?

Your Unweighted High School GPA *

Have you taken the ACT, SAT, or CLT? *

Some courses require minimum test scores to qualify. Official scores must be submitted to dualenrollment@floridacollege.edu.

Which test(s) have you taken?
Please select one or all that apply.

ACT

SAT

CLT

ACT: Highest Individual English Score *

ACT: Highest Individual Math Score *

SAT: Highest Individual English Score *

SAT: Highest Individual Math Score *

CLT: Highest Individual English Score *

CLT: Highest Individual Math Score *

College Academic Interest

What program interests you?

Please list all other AP, CLEP, AICE, or Dual Enrollment Courses you have taken.

School Administrator or Guidance Counselor Information

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.

School Administrator or Guidance Counselor First Name *

School Administrator or Guidance Counselor Last Name *

Please provide the email address and 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.

School Administrator or Guidance Counselor's Email *

School Administrator or Guidance Counselor's Phone Number *

Please include your t-shirt size for a special gift from our team when you are admitted.*
(Unisex sizes)