HHS Off Campus Dual Enrollment Request

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School Year *

2023-2024

2024-2025

必填

School Semester *

Fall

Spring

必填

My Personal Email *

Student Last Name *

Student First Name *

Student Middle Name *

Student Email Address that is checked regularly

Student LA Secure ID

Current Grade Level *

9th

10th

11th

12th

Date of Birth *

YYYY

Age *

ACT Composite Score

ACT English Score

ACT Math Score

Post Secondary Institution (Which Community College, Trade School, or University offers the course) *

Courses of Interest *

Is this course online or in person? *

Face to Face (In Person)

Online

Hybrid

Counselor's Name

Ms. J. Walther

Ms. Boyd

Ms. Ahearn

Ms. P. Walther

Ms. Thomas

清除選取的項目

Guardian's First Name *

Guardian's Last Name *

Guardian's Email *

Guardian's Phone Number *

Dual Enrollment Permission Form *

I have previously submitted a Dual Enrollment Parent Permission Form

I will submit a Dual Enrollment Parent Permission Form (linked above)

I need a copy of the Dual Enrollment Parent Permission Form

Comments or concerns

提交

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