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2022-2023: EARLY ENROLLMENT Registration
This form is for high school students who are participating in EMU's Early Enrollment program. All eligibility requirements must be met before you will be permitted to participate in any courses. Please contact your high school for more information.
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* Indicates required question
If known, please enter your EMU ID#
Your answer
Last Name
*
Your answer
First Name
*
Your answer
Middle Name
Please type NONE if no middle name.
Your answer
Preferred First Name
Your answer
Gender
*
Female
Male
Other
Prefer Not to Answer (Unreported)
Birthdate
*
MM
/
DD
/
YYYY
Current High School (and campus if applicable)
*
You may be contacted to complete additional registration forms depending on school requirements.
Choose
Conestoga Valley HS
Garden Spot HS
Lampeter Strasburg HS
LMS- Lincoln Hwy site
LMS - Hershey site
Manheim Twshp HS
Warwick HS
Other
If you answered Other to Current High School please enter it here.
Your answer
Graduation Date
Please enter your expected high school graduation date.
Your answer
Academic Major and Interests
What type of degree or career do you hope to pursue upon high school graduation?
Your answer
Are you Hispanic or Latino?
*
Yes
No
No Answer
Race
*
(check one or more)
White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
Other
Citizenship/Visa Status
*
U.S. Citizen
Permanent U.S. Resident
Dual Citizen
Citizen of another country
Student visa
Special visitor
If you checked "dual citizen" or "citizen of another country," which country?:
Your answer
Street Address
*
Your answer
City, State, Zip Code
*
Your answer
County of Residence
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Name of Parent or Guardian
*
Your answer
Phone Number (Parent or Guardian)
*
Your answer
Parent or Guardian Address
*
Enter "Same" if not different from Applicant
Your answer
How did you hear about EMU's Early Enrollment program?
Colleague/Friend
EMU website
EMU faculty
Course brochure
Mennonite Education Agency/ALI
Newspaper
My High School
Other:
Clear selection
Academic Eligibility
*
The Student Academic Eligibility Form must be received before the student can begin the course(s)
I have met with my high school Advisor and she/he will submit the completed documentation of academic eligibility.
I am a Home School student. My Parent or Guardian will submit the completed documentation of academic eligibility.
Select the classes you wish to register for:
First Class - Fall 2022 - Online
If only taking one class please use this option.
STAT 140: Elementary Statistics
WRIT 160: Public Communication
WRIT 135: College Writing II
CMUS 114: Appreciating Music Making
HIST 182: Global Past II: 1500-Present
BIOL 161: Food and Population
Other:
Clear selection
Second Class - Fall 2022 - Online
Only use this option for a second course. Two Gen Eds in a semester is not recommended unless EMU receives approval from your school adviser.
STAT 140: Elementary Statistics
WRIT 160: Public Communication
WRIT 135: College Writing II
CMUS 114: Appreciating Music Making
HIST 182: Global Past II: 1500-Present
BIOL 161: Food and Population
Other:
Clear selection
First Class - Spring 2023 - Online
If only taking one class please use this option.
CMUS 114: Appreciating Music Making
STAT 140: Elementary Statistics
WRIT 160: Public Communication
HIST 132: US History II: 1865-Present
ENVS 181: Environmental Science
Other:
Clear selection
Second Class - Spring 2023 - Online
Only use this option for a second course. Two Gen Eds in a semester is not recommended unless EMU receives approval from your school adviser.
CMUS 114: Appreciating Music Making
HIST 132: US History II: 1865-Present
STAT 140: Elementary Statistics
WRIT 160: Public Communication
ENVS 181: Environmental Science
Clear selection
First Class - Summer 2023 - Online
Only use this option for a second course. Two Gen Eds in a semester is not recommended unless EMU receives approval from your school adviser.
CMUS 114: Appreciating Music Making
PSYC 101: General Psychology
STAT 140: Elementary Statistics
WRIT 160: Public Communication
BIOL 161: Food & Population
Clear selection
Second Class - Summer 2023 - Online
Only use this option for a second course. Two Gen Eds in a semester is not recommended unless EMU receives approval from your school adviser.
CMUS 114: Appreciating Music Making
PSYC 101: General Psychology
STAT 140: Elementary Statistics
WRIT 160: Public Communication
BIOL 161: Food & Population
Clear selection
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