Navarro College Dual Credit Admissions Application
Navarro College Dual Credit Admissions Application
Navarro College Dual Credit Admissions Application
Dual Credit:
Academic
(and/or)
____________________________________________________________________ _____________________________
Social Security Number _________________________ Date of Birth ______________________________ Telephone Number ___________________________________________ City State Zip Code ________________________ County of Residence
_________________________________________________________________________________________ Mailing Address if different from Permanent Address (i.e. P.O. Box, City State & Zip) ______________________________________________________________________ E-Mail Address ______________________________ Emergency Telephone Number _______________________________________________________________________________________ Emergency Name White Non-Hispanic Asian or Pacific Islander Black Non-Hispanic American Indian or Alaskan Native __________________________ Anticipated Year of Graduation Hispanic International
Ethnicity: please circle the group you most identify with (This information is used for reporting purposes only.)
OR
Permanent Resident?
Yes
No Yes No
Have your parents or legal guardian lived in Texas for the 12 months immediately prior to your proposed enrollment date?
1. 2.
This student has completed his/her Sophomore year of high school, and met the high schools criterion for attending dual credit classes. This student possesses the maturity to successfully complete college level work. _________________________________ Date
I give him/her permission to enroll in classes at Navarro College. I understand that my child may be required to pay the regular Navarro College tuition and buy textbooks at the beginning of each semester. Upon completing registration, at one of the Navarro College campus, the tuition responsibilities as well as the tuition due dates will be located on my students class schedule. I give my permission for the college and high school to exchange personal, academic and behavioral information about my child. _______________________________________________________________________ Signature of Parent or Legal Guardian _________________________________ Date
I give Navarro College permission to release my transcript and personal information to my parent/legal guardian or my high school. I am taking course(s) for both high school and college credit through Navarro College. I hereby authorize Navarro College to send, fax or email, both the letter grade and numeric average to my high school at the end of this term. _______________________________________________________________________ Signature of Student _________________________________ Date