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.
Email address *
Name:
Your answer
Date:
MM
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DD
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YYYY
GPA:
Your answer
What major are you considering for college?
Your answer
Name of course:
Your answer
Institution where course is being offered:
Your answer
Course format:
Number of credits:
Your answer
Please include a brief description of the course:
Your answer
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.
Student Signature:
Your answer
Date:
MM
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DD
/
YYYY
Parent Signature:
Your answer
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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