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Early University Programs
8350 N. Tamiami Trail | Sarasota, FL 34243
Phone: (941) 359-4331 | dualenrollment@usf.edu
HIGH SCHOOL DUAL ENROLLMENT APPROVAL FORM
STEP 1: Filled out by STUDENT and PARENT/GUARDIAN
Name: ______________________________________ U Number: ________________ Net ID: __________________
High School: ________________________________ Year began HS: __________ Graduation Year: ___________
Anticipated Semester/Year that student will begin USF Dual Enrollment: ___________________________________
CONFIRMATION OF PROCESS
• Student has submitted USF’s Non-Degree application. ___________________
Parent initials
• Student has submitted the residency information required for the application. ___________________
Parent initials
• Student has submitted the immunization information to USF Student Health Services. ___________________
Parent initials
SIGNATURES
We have read and understand the conditions of the Dual Enrollment student classification. By our signatures below, we hereby authorize and allow the
release of future USF academic records to the designated high school.
_________________________________ __________________________________ __________________
_________________________________ __________________________________ __________________
________________________________________________________________________________________________
STEP 2: Filled out by COUNSELOR for first term in USF dual enrollment
• The student’s current weighted high school GPA _____________ _____________
Must be at least 3.5 Weighted GPA School admin. initials
• The student has the following test scores (official scores must be submitted)
SAT Critical Reading – 560, SAT Mathematics – 530 _____________ _____________
AND/OR Score School admin. initials
ACT Reading – 21, ACT Mathematics –21 _____________ _____________
AND/OR Score School admin. initials
PERT Math – 123, PERT Reading – 106 and PERT Reading – 103 _____________ _____________
Score School admin. initials
• The student’s high school transcript has been sent electronically to USF _____________
School admin. initials
_________________________________ __________________________________ __________________
APPROVAL FORMS FOR THE FIRST SEMESTER MUST INCLUDE PAGE 2
School Administrator’s Name Signature Date
School Administrator’s Printed Name Signature Date
Student’s Printed Name Signature Date
Parent/Guardian’s Printed Name Signature Date
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signature
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