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2022-2023 Dual Enrollment Interest Form
Only complete this form ONCE.
Please provide a student email address below.
If a School District of Manatee County email is submitted, please be sure to type the entire address correctly (
name@students.manateeschools.net
).
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* Indicates required question
Email
*
Your email
Last Name
*
Your answer
First Name
*
Your answer
Current Grade Level
*
9th
10th
11th
Required
7th Period Teacher Last Name
*
Your answer
7th Period Room Number (Leave answer blank if unsure)
Your answer
I am interested in dual enrollment with the following institution(s):
*
State College of Florida
University of South Florida
Not Sure
Required
Parent or Guardian Email Address
*
Your answer
Do you currently have qualifying test scores for the dual enrollment program?
Yes
No
Not Sure
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