Dual Enrollment App

Student Personal Information

* Denotes Required Field

Name First *

Middle Name *

Last Name *

Student Email Address *

Gender *

Student Birthdate *

Social Security Number (Omit dashes) *

High school students must be in 10th-12th grade to take Dual Enrollment courses with Florida College*
Current Grade

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?

Family Information

Parents are:

Home Address *

Country

Street

City

Region

Postal Code

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

Please provide information on your male parent/guardian:

First Name: *

Male Guardian Type: *

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

Primary Contact Phone Number *

Primary Contact Email Address *

Secondary Contact Phone Number

Secondary Contact Email address

Sibling Information

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 2027

Spring 2027

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 *

Describe Other

High School Name
(Start typing and select from the list)
If you are home schooled please use Homeschool Student as your entry value

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

Other Areas of Interest

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 *

Payment Acknowledgement: *

I am a Florida resident AND I am homeschooled OR I attend a private school. I understand that my tuition and textbooks will be billed to the state dual enrollment scholarship program.

I am a Florida resident but I attend a Florida state-funded Public or Charter school. As such, I understand that under current Florida statute, I am NOT eligible for the Florida State Dual Enrollment Scholarship for the fall or spring semester. I understand payment of all dual enrollment tuition and textbooks is my own responsibility and that payment is due by the first day of classes, which is August 17th, 2026 for the Fall 2026 semester.

I am NOT a Florida resident, and therefore NOT eligible for the Florida State Dual Enrollment Scholarship. I understand payment for all dual enrollment tuition is due by the first day of classes, which is August 17th, 2026 for the Fall 2026 semester.