Dual Enrollment Application
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Personal
Demographic
High School
Certification
Block Editing
TRUE
This application should only be completed
once
by current high school students before your first time taking Dual Enrollment classes.
If you have already received your Student ID and Hawkmail account,
do not re-apply each term
. For information on how to register for courses, please see our
Dual Enrollment webpage
.
Students who have already graduated high school or plan to take classes at HCC after graduating should go back and submit the
General Application
.
Prefix
Please select...
Dr.
Mr.
Mrs.
Ms.
Prof.
First Name
Legal name as it appears on government issued identification.
Middle Name
Last Name
Legal name as it appears on government issued identification.
Suffix
Please select...
II
III
IV
Jr.
Sr.
V
Birthdate (MM/DD/YYYY)
Do you have previous name
Yes
No
Former First Name
Maiden/Former Last Name
Driver's License #
Driver's License Issuing State
Please select...
Alabama
Alaska
Alberta
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
British Columbia
California
Canal Zone
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northwest Territories
Nova Scotia
NULL
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Province of Quebec
Puerto Rico
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Permanent Address
Check if address is outside the U.S.
Street Address Line 1
Street Address Line 2
City
State
Please select...
Alabama
Alaska
Alberta
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
British Columbia
California
Canal Zone
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northwest Territories
Nova Scotia
NULL
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Province of Quebec
Puerto Rico
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Contact Details
Cell Phone
Home Phone
Personal Email Address
IMPORTANT: All status updates will be sent via email to this address. Please ensure this is a valid address and use a permanent personal email address, not your school or parent address.
What is your preferred method of contact?
Please select...
Text Message
Email
Phone Call
Term and Student Information
Preferred Campus
Anticipated Start Term
What type of student will you be?
Please select...
Dual Enroll
Academic Term Record ID
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