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HIGH SCHOOL DUAL ENROLLMENT
SCHOOL AUTHORIZATION FORM
This form must be submitted each semester.
APPLICANTS
Please complete the boxed portion of this form and give to your high school/secondary school guidance counselor or principal.
HIGH SCHOOL/SECONDARY SCHOOL GUIDANCE COUNSELOR OR PRINCIPALS
We appreciate your cooperation in providing the following information.
Overall GPA:________ SAT/ACT:________
Indicate your specific recommendation of this student for High School Dual Enrollment at Gannon University:
q recommended highly q recommended with reservation
q recommended q not recommended
Please feel free to use the section below for any comments on the above student.
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
I am aware and approve of the above student enrolling at Gannon University as a Dual Enrollee. Official High School Transcripts are
included with the High School Dual Enrollment Application.
____________________________________________________ ____________________________________________________
School Official Name (Please print) Title
____________________________________________________ ____________________________________________________
Telephone Number (Including extension) E-mail Address
____________________________________________________ ____________________________________________________
School Official Signature Date
Course Code Section Course Name Instructor Days Times
Alternate Courses
Please choose alternate sections for the particular course or courses you want.
If you are more focused on a particular time or days, please provide alternate courses taking place at those times and days.
First Name Middle Name Last Name Suffix
Cell Phone Number (Including Area Code)
E-mail Address
Returning Dual Enrollment Student? q Yes q No
Social Security Number (U.S. Citizens Only)
Is at least one parent/guardian currently employed at Gannon?
q No q Yes, department/position: __________________________
Gannon University course(s) in which you would like to enroll:
q I authorize Gannon University to contact me via text or smart
message (SMS) at the cell phone number provided.
Applying For (Check One)
q Fall 20_____Term q Spring 20_____Term q Summer 20_____Term
