EARLY COLLEGE
REGISTRATION FORM
I certify that the above named student is a student in good standing at the above named high school with a
current grade point average of C or higher and thus may enroll in courses at Middlesex Community College as
an Early College student. I also certify that the courses listed above will be credited towards the student’s high
school graduation.
Guidance Counselor/Advisor Signature: _______ Date:
Student Signature: __________________ _______ Date: _____
Note to Parents/Guardians: Dual enrollment courses through Early College being taught at the high school are
offered at no cost to students. However, dual enrollment courses taught at Middlesex Community College are
offered at a reduced rate of $92.00 per credit. Some on-campus courses may also have fees associated with them.
I understand that I will be responsible for the cost of any on-campus MCC dual enrollment courses.
Parent or Guardian Signature:
Date:
Guidance Counselor:
Phone:
Register for Withdraw from Fall Spring Summer 20___
List MCC courses below. Students may only enroll in courses for which the high school will award credit
towards graduation.
Course Title/ Course Subject
MCC ADVISORS ONLY- Please check one:
□ Returning Early College student with above documents sent previously.
□ New Early College student with Application, Multiple Measures Form, and High School Transcript.
Student GPA: Expected High School Graduation date:
MCC Advisor Signature: Date:
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