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:
Name:
Middlesex ID: A
High School:
SASID:
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.
CRN
Course
Number
Course Title/ Course Subject
Meeting Day and Time
Returning Early College student with above documents sent previously.
New Early College student with Application, Multiple Measures Form, and High School Transcript.
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit