College Gateway Application
Please fill out the following form, which will submit to your school counselor regarding your plans to pursue dual enrollment opportunities.  Your counselor will contact you to set up a meeting with the Assistant Principal of Academics as part of the application and approval process.
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Email *
Name:
Date:
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GPA:
What major are you considering for college?
Institution where course is being offered:
Course format:
Clear selection
Name of Course:
Please include a brief description of the course:
Number of credits:
Acknowledgement:By signing this form, students and their parents/guardians acknowledge responsibility for all costs incurred from enrolling in this course. Additionally, the student will be responsible for providing transcripts and final grades to their school counselor, in order to receive credit for the course.
Clear selection
Student Signature:
Date:
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YYYY
Parent Signature:
Date:
MM
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DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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