Dual Enrollment Application

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Completing this application is only the first step in the process. Your high school counselor will verify that you have met the requirements for dual enrollment including having a 2.0 GPA, passed all state tests, do not have attendance issues , and have no discipline infractions.

Email *

Today's date *

YYYY

When would you like to start dual enrollment at Haney? *

August 2024

First and Last Name (Legal) *

What high school do you attend? *

Name of your high school counselor? *

What program are you interested in taking at Haney? *

Do you plan to attend part-time or full-time *

Citizenship *

U.S. Citizen

Non-Resident Alien

Permanent Resident

Vocational Single Parent *

Both - Single parent and single pregnant

Single parent, except pregnant

Single Pregnant

Not Applicable

Parent/Guardian Name *

Parent/Guardian Phone Number *

Student's Phone Number *

Cumulative GPA *

Entry requirements to be Career Dual Enrolled: * Bay District Schools student * 16 years or older and enrolled in 11th or 12th grade * Passed all state/Bay District School standardized testing *Cumulative GPA of 2.0 (unweighted) *Free of disciplinary action(s) in the semester prior to enrollment *No more than 10% absences based on the prior semester’s attendance STUDENT ACKNOWLEDGEMENT: I accept the conditions of Career Dual Enrollment at Haney Technical Center and understand that as a Career DE student, I am considered a dependent student and that Haney is free to release any information on my enrollment to my parents and/or high school officials including grades, attendance, and official transcripts. Please type your name below to accept. *

A copy of your responses will be emailed to the address you provided.

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