Dual Enrollment Student Contact Questionnaire
Please complete the below questionnaire to receive the required Dual Enrollment Special Admission Form by email.
Student Last Name (As submitted on COC Spring Application) *
Student First Name (As submitted on COC Spring Application) *
High School Student ID number *
Grade Level *
Student Email (Your Dual Enrollment Special Admission Form will be emailed to this address) *
Confirm Student Email
Parent/Guardian Email (Your Dual Enrollment Special Admission Form will be emailed to this address for parent approval) *
Confirm Parent/Guardian Email
Preferred Student Phone Number *
Have you consulted with your high school counselor about the Dual Enrollment Program and which course to enroll in? *
Please confirm you have completed ALL of the below admission steps. Completion of Step 1 - Step 3 is REQUIRED before your Dual Enrollment Special Admission Form is emailed to you. *
Yes
No
Step 1: Submitted a Spring COC Application
Step 2: Created/Reactivated My Canyons student account
Step 3: Completed Online Orientation
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