Updated 6/15/2020
Name: _____________________________________________________________ Term: _________________________
Social Security Number: __________ - ________ - _________ WTC ID# ________________________________________
Mailing Address_____________________________________________________________________________________
Date of Birth: _____________________ Phone Number: _______________________________ Grade Level: __________
E-Mail:______________________________________________________ High School____________________________
QUALIFYING TEST SCORES
Test Taken:
□ ACT □ PLAN/ASPIRE
□ PSAT □ SAT
STAAR □ TSI
TSI Exempt:
Math □ Reading □ Writing
Dual Credit Enrollment Recommendations
Before enrolling in dual credit courses, students should read and understand the course description(s) located in the WTC
Course Catalog:
Rd at the end of a course means the course is Reading Intensive.
Wtg at the end of a course means the course is Writing Intensive.
Mth at the end of a course means the course is Math Intensive.
Students should ask about course delivery. Courses are offered online, face to face, or hybrid (combination of face to face and
online).
WTC does not recommend first time dual credit students take more than 6 hrs their first semester.
WTC does not recommend dual credit students, with a GPA below 2.0, take more than 6 hrs.
WTC does not recommend dual credit students, with a GPA between 2.0 and 2.5, take more than 9 hrs.
WTC does not recommend dual credit students, with a GPA between 2.5 and 3.25, take more than 12 hrs.
Please refer to the WTC Course Catalog for other enrollment policies as well as scholastic probation/suspension policies.
Student Signature: ______________________________________________________ Date: ______ / ______ / ______
Western Texas College does not discriminate on the basis of race, religion, color, national origin, sex, age or disability with respect to access, employment, programs or services.
Inquiries or complaints concerning these matters should be brought to the attention of the EEO representative. Director of Human Resources, EEO Official/Title IX Coordinator, Human
Resources Department, 6200 College Avenue, Snyder, TX 79549, 325-573-8511.
Course
Title
Course
Number
Section
Number
Semester
Hours
*Total Semester Hours
Approved Tuition Waiver
Scurry County Residents only
What is the criterion used to determine the tuition waiver? (Example: Qualifies for free lunch program)
_________________________________________________________________________________________________
Principal’s Signature: ____________________________________________________ Date: ______ / ______ / ______
DUAL CREDIT COURSE REGISTRATION FORM
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