Summer & Fall 2022
Dual Enrollment Form
Semester Selection Summer Fall
Personal Information
Submission Deadlines:
Summer - May 4
Fall - May 27
(A, B, & Full-Term)
Test Score Requirements
Please indicate which test you have taken: Scores are only valid for 2 years from test date.
*If using SAT or ACT test scores they must be attached for processing.
School Counselor Section
Yes No
DSC Course Requests
Courses must be required for program of study. Use this guide when selecting courses: DSC Course Search Guide.
Registration is subject to course availability at the time of processing. All attempted courses become part of the student’s permanent college record.
Registration Guidelines
Students pursuing an Associate of Arts degree must complete General Education requirements and pre-requisite course(s)
ne
eded to transfer into their intended bachelor’s degree program before they are permitted to take other elective courses
.
Dua
l enrolled students are limited to 2 fully online courses per 15-week semester, with the exception of students who hav
e
e
arned at least 30 credits and have a minimum 3.5 DSC GP
A.
S
tudents are responsible to initiate any enrollment action, such as registering, dropping, or withdrawing from courses
.
A
ll enrollment, drop, and withdraw deadlines can be found on the academic calendar
.
Signatures
Your signature confirms consent to the agreement on page two. All signatures and test scores are required for processing.
DSC Use Only
Processed by:
Date:
Send completed form to: DualEnrollment@DaytonaState.edu
Date of Birth
Name (First Middle Last)
Phone #
DSC ID #
Intended Major
Grade Level Cum. GPA
Foreign Language Completed
School
Expected Grad. (MM/YY)
Course #
Example: ENC1101
Students are encouraged to list alternative courses in the event a section is filled.
5401 Full 3 In Person Yes
HS Grad
Requirement
Instruction Mode Session # of Credits
4 Digit
Class #
School Counselor
Parent/Guardian
Student Date
Date
Date
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
Choose an item.
click to sign
signature
click to edit
Consent Agreement
Dual Enrollment Eligibility
All Dual Enrollment courses are college-level coursework with college-level expectations. Please be aware that:
All grades become a part of the student’s permanent college transcript, and poor grades can affect future
c
ollege admissions and federal financial aid eligibility
.
S
tudents should expect two to three hours of homework and study time for each credit hour taken ea
ch
s
emester
.
Any
letter grade below a “C” will not count as credit toward General Education or Gordon Rule requirements
.
St
udents will need written permission from a school counselor to withdraw from Dual Enrolled classe
s.
A
dd/Drop and withdrawal deadlines are posted on the academic calendar
. Dual Enrollment students follow th
e
sam
e academic calendar as all Daytona State College students
.
Students must consult a DSC Academic Advisor regarding the selection of courses, both to meet their degree
r
equirements and to ensure effective transfer to their planned university course of study
.
S
tudents who have earned AP/IB/AICE credit must send official transcripts to the college
.
To continue participation in the Dual Enrollment program, students must meet the minimum eligibility requirements,
including high school GPA, college GPA, and satisfactory course completion. Note that home educated students are
exempt from the high school GPA requirement.
Parent/Guardian
I give my child permission to participate in Dual Enrollment courses at Daytona State College. I understand that Dual
Enrollment courses are governed by the terms of an articulation agreement with my school. I am aware that I may not
access my student’s college records, including attendance, grades, and any other non-directory information, unless the
student follows procedures to provide delegated access to allow parental permission, as described in the Family
Educational Rights and Privacy Act (FERPA).
Course materials or class discussions may involve topics not typically included in secondary courses, and which some
parents may find objectionable. Courses are not modified to accommodate variations in student age and maturity.
Student
I agree to abide by the terms and conditions of the dual enrollment agreement, which is incorporated into this
application by reference and available on the Daytona State College website
.
I accept responsibility for my own transportation to the campus where my classes are being held
.
I
understand that availability of classes is subject to the number of seats available
.
I agree to abide by both Daytona State College and school rules and policies. I am aware that inappropriate
co
nduct will result in administrative withdrawal from Daytona State College coursework and other possibl
e
c
onsequences
.
I
understand that I am obligated to review and follow the attendance policy of each class’ syllabu
s.
I understand that any grades become a permanent part of both my school and college records. I authorize
Day
tona State College to forward my placement test results, my class schedule, and my grades to my school
.
I
understand that class registration activity is between the student and Daytona State College, not the studen
t
a
nd the school
.
Send completed form to: DualEnrollment@DaytonaState.edu