119AndersonHall,Manhattan,KS66506•P:785.532.6250•F:785.532.6393•E‐mail:k‐state@k‐state.edu
ThisformwillbeusedforcurrenthighschoolstudentswhowishtoenrollasaconcurrentstudentwithKansasState
Universityeitheroncampusoronline.Onceallofthedocumentsandsignatureshavebeenreceived,anadmissions
decisionwillbemadeandthestudentwillbecontactedviaemailwithinstructionsonhowtoproceed.Ifyouarea
continuous,concurrenthighschoolstudent,youwillnotneedtoresubmitanapplicationorrepaythe$40application
fee.IfyouwanttotakecoursesthroughthePolytechnic(Salina)campus,pleasecontact785‐826‐2640or
polytechnic@k‐state.edu.
StudentName:______________________DateofBirth:_________________HighSchool:______________________
DesiredCourse(s):___________________________________________________________________________________
ConcurrentHighSchoolApplicationChecklist
AdmissionsApplication‐Applicationfilledoutatwww.k‐state.edu/admissions/apply.Eligiblestudentswhoare
currentlyinhighschoolmaytakecoursesforcollegecreditwithapprovalbyahighschoolcounselororprincipal.
Contactyourcounselor’sofficeforassistanceinassuringcreditforbothhighschoolandcollegeworkwillbegranted.
Ifyouareacontinuous,concurrenthighschoolstudent,youwillnotneedtoreapply.
ApplicationFee‐Anapplicationfeeof$40.00willbecollectedatthetimeofapplicationviacreditordebitcard.You
mayalsomailachecktoouroffice,callandpayoverthephone,orvisitouroffice(contactdetailsprovidedbelow).If
youareacontinuous,concurrenthighschoolstudent,youwillnotneedtopaythe$40applicationfeeagain.
Transcript(middleorhighschool)‐Pleasehaveacopyofyourtranscriptsenttoourofficeforreviewbythe
department.Youmayemail,mail,orfaxacopyofyourtranscripttoourofficeusingthecontactdetailsprovided
below.
Parent/GuardianSignature‐Ourofficerequiresparentalorguardianconsentifthestudentwillbeyoungerthan16
atthestartofclasses.Bysigning,yougrantpermissionforyourstudenttotakecollegecoursesinconjunctionwith
theirhighschoolcourses.
Parent/GuardianSignature:__________________PrintedName:_____________________Date:________
Counselor/SchoolOfficialPermission‐Thehighschoolofficial’ssignatureservesasverificationthatthestudentand
counselorhavediscussedandevaluatedanyimpactconcurrentlyenrollingwithKansasStateUniversitymighthave
onfulfillinghighschoolgraduationrequirements.Additionallythebelowsignaturerepresentsarecommendationby
theschoolofficialthatthestudenthasbeendeemedacademicallycapableofenrollingincourse(s)withKansasState
University.
HighSchoolOfficialSignature:___________________PrintedName:___________________Date:________
Uponthecompletionofthisform,thecounselororappropriatehighschoolofficialshouldsubmitviae‐mail,fax,ormail.
PleasecontacttheOfficeofUndergraduateAdmissionswithquestionsorconcerns.
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