Schoolcraft College Dual Enrollment
Payment Authorization and Parent Approval Form
New Dual Enrolled Students: submit this form with your online admission application or email it to email@example.com.
Returning Students: EACH semester you take classes, email this form to firstname.lastname@example.org or fax to: 734-462-4505.
Select ONE semester: o Fall 20 ________ o Winter 20 ________ o Spring/Summer 20 _________
________________________________ _________________________________ ________________________
STUDENT LAST NAME STUDENT FIRST NAME STUDENT BIRTH DATE (MM/DD/YYYY)
________________________________________________ _________________________________________________ ___________________________________
EMAIL ADDRESS PHONE NUMBER
SCHOOLCRAFT STUDENT NUMBER (if known)
Dual Enrollment Student must apply for admission to Schoolcraft College. (First semester only. You do not need to re-apply each semester.)
• The school district approves the student for the dual enrollment option selected below and authorizes Schoolcraft College to bill the school district
(public high school) or State of Michigan (non-public high school) for charges incurred by the student until maximum funding is reached.
Please email email@example.com or call (734) 462-4586 if you have questions regarding payments or billing.
• For students eligible for full or partial funding through the Post Secondary Enrollment Act, payment is not due at the time of registration.
If tuition and fees exceed the authorized amount, Schoolcraft will bill the student/parent for the remaining balance.
• Schoolcraft will bill the student/parent if the student does not complete his/her course(s), or if the student registers for any courses that are not
approved on their application. It is the student’s responsibility to ocially drop the class if they do not plan to attend.
Please select one of the following:
o School District Sponsored (Dual Enrollment - Public School) __________________________________________________________
NAME OF HIGH SCHOOL
o State of Michigan Sponsored (Dual Enrollment - Non-Public School) __________________________________________________
NAME OF HIGH SCHOOL
o Not eligible for funding through the Post Secondary Enrollment Act. Student/Parent responsible for payment.
Payment must be made online or in person at the Schoolcraft College Student Account’s Oce within 3 weekdays of registering.
Get more information about paying tuition in full or enrolling in the tuition payment plan at www.schoolcraft.edu/student-accounts.
Parent/Legal Guardian and Student Agreement
PARENT/LEGAL GUARDIAN LAST NAME PARENT/LEGAL GUARDIAN FIRST NAME
RELATIONSHIP TO STUDENT PHONE NUMBER
______________________________________________________ _____________ ___________________________________________________ _____________
PARENT/LEGAL GUARDIAN SIGNATURE DATE STUDENT SIGNATURE DATE
HIGH SCHOOL COUNSELOR SIGNATURE DATE
Please Note: Register for only the courses that are approved on this
application. You will be billed for any course(s) that are not approved.
For High School Use Only
High School Responsible for Payment
Printed name of Billing Authorizer
Signature of Billing Authorizer
SC Admissions Rep/Date