Dual Enrollment Application

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This application should only be completed once by current high school students before signing up to take Dual Enrollment classes. If you have already completed this application and need 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

First Name

Middle Name

Last Name

Suffix

Birthdate (MM/DD/YYYY)

Do you have previous name

YesNo

Former First Name

Maiden/Former Last Name

Driver's License #

Driver's License Issuing State

Permanent Address

Check if address is outside the U.S.

Street Address Line 1

Street Address Line 2

City

State

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?

Term and Student Information

Preferred Campus

Anticipated Start Term

What type of student will you be?

Academic Term Record ID

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