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Application for JHS Dual Enrollment
Please talk with your high school counselor about Dual Enrollment prior to completing this form.
*You will need to fill out a separate application for each course you want to enroll in.
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* Indicates required question
Last Name
*
As it appears in PowerSchool
Your answer
First Name
*
As it appears in PowerSchool
Your answer
Student Email Address
*
Your answer
Grade Level
*
Enter the grade that you will be in when taking the Dual Enrollment Class
9
10
11
12
Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Telephone Number
*
Example: xxx-xxx-xxxx
Your answer
College
*
Aquinas College
Cornerstone University
Davenport University
Grand Rapids Community College
Grand Valley State University
Kendall College
Other:
JHS Semester
*
1st
2nd
Course Name
*
See College Course Catalog. Example: English Composition I
Your answer
Course Number
*
See College Course Catalog. Example: EN 101
Your answer
Credit Hours
*
See College Course Catalog. Enter the # of credit hours.
1
2
3
4
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