Fillable DUAL ENROLLMENT REGISTRATION FORM STUDENT INFORMATION (All fields (Gadsden State Community College)

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DUAL ENROLLMENT REGISTRATION FORM STUDENT INFORMATION (All fields (Gadsden State Community College)

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STUDENT INFORMATION
COURSE AND CREDIT INFORMATION
APPROVAL
INTERNAL USE ONLY
DUAL ENROLLMENT
REGISTRATION FORM
(All fields must be completed and form submitted prior to each registration term.)
Student Name GSCC ID (A#)
Name of High School Grade Level
Registration Term Year
(Spring/Summer/Fall)
Intended Program of Study
List approved courses below. Courses should be selected by the student in collaboration with the High School Counselor and College Advisor.
GSCC Course(s) Requested
CRN #
Credits
High School Equivalent Course(s)
Unit Credit
Notes:
• Developmental courses (those numbered below 100) and physical education courses are not eligible.
• Students must meet all applicable pre-requisites and testing requirements prior to enrolling in courses.
• Gadsden State reserves the right to cancel courses due to low enrollment, and enrollment in selected courses is not guaranteed.
Student Signature* Date
*By signing, I agree to be registered for the above courses and agree to all terms and conditions within the GSCC dual policy.
Counselor Signature: Date
Information Verified and Entered by: Test Scores Verified in System:
Admissions Office | P.O. Box 227 Gadsden, AL 35902-0227 | (256) 549-8210 | admissions@gadsdenstate.edu
9/20
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DUAL ENROLLMENT REGISTRATION FORM STUDENT INFORMATION (All fields (Gadsden State Community College)

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Completed 29 January 2021

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