Dual Enrollment Registration

Student Information

ADMIN: administrative field, hidden from user-default set field (do not delete)
Isaac Duncan

set Y Dual Enrollment Student field (Y/N)

Yes

Legal First Name*

Preferred Name

Middle Name

Last Name*

Birthdate*

Mailing Address*

Country

Street

City

Region

Postal Code

Email Address*

Mobile Phone*

What year are you graduating high school? *

Additional Student Information

Gender*

Citizenship Status*
Required for the IRS 1098-T form.

Country of Citizenship*

Social Security Number*
Required for IRS 1098T form

What is your race and/or ethnicity? (optional)
Select all that apply

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Middle Eastern or North African

Native Hawaiian or Other Pacific Islander

White

Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees.

Parent/Guardian Information

Parent/Guardian First Name*

Parent/Guardian Last Name*

Parent/Guardian Relationship*

Parent/Guardian Phone Number*

Parent/Guardian Email*

Academic Information

Select your school*

Covenant Day School (Matthews, NC)

Calvary Christian Academy (Ft Lauderdale, FL)

Chattanooga Christian School (Chattanooga, TN)

Chapelgate Christian Academy (Marriottsville, MD)

Hardin County Homeschool (Hardin County, KY)

Trinity Christian Academy (Lexington, KY)

Westminster School at Oak Mountain (Birmingham, AL)

set CEEB for Covenant Day School

set CEEB for Calvary Christian Academy

set CEEB for Chattanooga Christian School

set CEEB for Trinity Christian Academy

set CEEB for Westminster School at Oak Mountain

Dual Enrollment Course Registration

Select your course(s)

Intro to Literature (Covenant Day School, Full Year)

Calculus I (Covenant Day School, Full Year)

Statistics: Concepts & Methods (Covenant Day School, Full Year)

Intro to Literature	3 credit hours
Calculus I	4 credit hours
Statistics: Concepts & Methods	3 credit hours

Select your course(s)

General Psychology (Calvary Christian Academy, Fall)

General Psychology (Calvary Christian Academy, Spring)

Statistics: Concepts & Methods (Calvary Christian Academy, Fall)

Lifespan Development (Calvary Christian Academy, Spring)

College Algebra (Calvary Christian Academy, Spring)

Spanish Conversation (Calvary Christian Academy, Fall)

Spanish Conversation (Calvary Christian Academy, Spring)

General Psychology	3 credit hours
Statistics: Concepts & Methods	3 credit hours
Spanish Conversation	3 credit hours

Select your course(s)

Concepts of Chemistry (Chattanooga Christian School, Full Year)

Spanish IV (Chattanooga Christian School, Fall)

French IV (Chattanooga Christian School, Fall)

Concepts of Chemistry	4 credit hours
Spanish IV	3 credit hours
French IV	3 credit hours

Select your course(s)

American History & Government (Trinity Christian Academy, Full Year)

Anatomy & Physiology (Trinity Christian Academy, Full Year)

Statistics: Concepts & Methods (Trinity Christian Academy, Full Year)

American History & Government	3 credit hours
Anatomy & Physiology	4 credit hours
Statistics: Concepts & Methods	3 credit hours

Select your course(s)

English Composition (Westminster School at Oak Mountain, Full Year)

Intro to Literature (Westminster School at Oak Mountain, Full Year)

Drawing Principles (Westminster School at Oak Mountain, Full Year)

English Composition	3 credit hours
Intro to Literature	3 credit hours
Drawing Principles	3 credit hours

$50.00 per credit hour

Payment

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