Dual/Concurrent Credit
Home School/Special Admit Registration Permission Form
Term: Fall Spring Summer Year: 20 _____ New Dual Credit Student Returning Dual Credit Student
Name of Student: CWID# DOB: _____/_____/_____
Name of Home School: Current Grade Level: HS Graduation Date (MM/YYYY): _ __ /___ __
I understand that if I am admitted under this program, I will abide by the rules and regulations of Collin College, including official
registration and withdrawal procedures. I also understand that academic information such as test scores and college transcripts
will be provided by Collin College upon request to my corresponding high school.
I understand that I will be registering in a college credit course(s) and will receive a performance (letter) grade which will be
recorded on my permanent record at Collin College. Tuition must be paid by posted payment deadline. Courses follow the
Collin College calendar as outlined in the student Registration Guide. I acknowledge that turning in this form only grants
me permission to take courses and that I must register online through my CougarWeb account.
Continued participation in this program requires: 1] satisfactory academic performance as it relates to Collin Colleges Academic
Standards defined in the College Catalog 2] parental (if under 18) and school approval for each subsequent semester of
I understand that I am not eligible for KINE or developmental education courses for dual/concurrent credit. If I register for these
courses I understand that they will be dropped from my schedule.
I understand that home school/special admit students are not permitted to audit classes.
Official high school transcripts are not required to participate in the Collin College Dual Credit Program. However, one may be
required to demonstrate college readiness and to confirm academic information such as test scores, grade classification,
vaccination, and other pertinent information.
Dual Credit Vaccine Waiver: I certify that I intend to enroll for the above term in a dual credit course that will be taught online. I
understand that if I enroll in course(s) that will be taught at a Collin College campus that I will be required to provide proof of a
valid vaccination at least 10 days prior to the first day of the first semester or the course(s) will be dropped from my schedule.
Student Signature Date
I agree to these provisions of admission and enrollments hereby listed for consideration of the students acceptance and understand
he/she must abide by the rules and regulations of Collin College. I understand the student will be responsible for any charges
remaining on his/her account not covered by any applicable waivers and is subject to Collin Colleges Student Financial
Responsibility Agreement.
I understand the student may be exposed to adult material in the classroom and open laboratories, including libraries, learning
centers and computer labs. I understand that once the student is registered in a college course he/she is under the rules of the
Family Educational Rights and Privacy Act (FERPA), and I may not have access to my students records without his/her written
permission on the FERPA release form.
My signature below acknowledges that I have read and understand the policies above.
Parent / Legal Guardian Signature Date
To be Completed by Parent or Legal Guardian
Course Name and Number
(ex. ENGL 1301 or GOVT 2305)
Home School/Special Admit Administrator Signature Date
To be Completed by Home School/Special Admit Administrator
EBRW: _______________ / __________________
(460 or higher) Test date (mm/dd/yyyy)
Math: _______________ / ___________________
(510 or higher) Test date (mm/dd/yyyy)
(4000 or higher) Test date (mm/dd/yyyy)
Algebra I:
/ English II: _______________ ___________________
_______________ ____________________
(4000 or higher) Test date (mm/dd/yyyy)
Final Numeric Grade in Algebra 2 course: ________
(Grade of 70% or higher)
English: _______________ / ___________________
(435 or higher) Test date (mm/dd/yyyy)
ACT Aspire:
Math: _______________ / ___________________
(431 or higher) Test date (mm/dd/yyyy)
My signature certifies that the above information on this form is true and correct.
Revised 01/2021
Date Received: ____________ Collin Staff Initials: _________
Name of Student: CWID# DOB: _____/_____/_____
This section is for requesting Dual Credit TSI waivers only. Please attach a copy of your unofficial score report and HS transcript (for
Algebra 2 grade) for score verification. If you qualify for a TSI exemption based on SAT or ACT scores, please submit your official score
report to Collin College through the College Board. If you already have scores, waivers, or exemptions on file you may skip this section.
Eligible for TSI waiver based upon: