Fillable Printable Miami Dade College Application Form for Dual Enrollment Program
Fillable Printable Miami Dade College Application Form for Dual Enrollment Program
Miami Dade College Application Form for Dual Enrollment Program
AR Form 1c (01/2015)
HIGH SCHOOL OR HOME SCHOOL– MIAMI DADE COLLEGE (MDC)
DUAL ENROLLMENT PROGRAM FORM
http://www.mdc.edu
This form must be completed every term for which dual enrollment is sought.
Instructions
An MDC Admission Application must be completed if this is the first time that the student completes this Dual Enrollment Program Form. The MDC Admission
Application must be completed and submitted to an Admissions and Registration Office location below. The Dual Enrollment Program Form must be submitted to the
Dual Enrollment Coordinator at least 10 business days prior to the first day of the requested term of enrollment.
Term/Year Enrollment Intention Location
Fall Spring Summer Year _______
North Kendall Wolfson Homestead InterAmerican Hialeah West EEC
PART 1 – Student’s Personal Information
Check One:
New Student Continuing Student
_______________________________________________________________________________________________________________________________________
Student’s Last Name First Name Middle MDC Student ID
_______________________________________________________________________________________________________________________________________
Student’s Mailing Address City Zip
_______________________________________________________________________________________________________________________________________
Student’s Birth Date (MM/DD/YYYY) Home Phone # Cellular Phone # Email Address
Student’s Current Grade Level
_________________________________
Expected High School Graduation Date (MM/DD/YYYY)
____________________
Part 2 – Student’s and Parent’s Certification
By signing below, the student certifies the following: he/she has read and will comply with the requirements and procedures on the reverse side of this form; intends
to pursue a postsecondary degree following graduation from high school; and understands that the College will provide a transcript of grades and placement test
scores to the student’s high school. All Dual Enrollment courses will be posted to the high school permanent record.
_______________________________________________________________________________________________________________________________________
Student’s Full Name (print legibly) Student’s Signature Date (MM/DD/YYYY)
_______________________________________________________________________________________________________________________________________
Parent’s/Legal Guardian’s Name (print legibly) Parent’s/Legal Guardian’s Signature Date (MM/DD/YYYY)
PART 3 – Dual Enrollment Course Approval
This section must be completed by the student’s high school Guidance Counselor/home school official. Please legibly print below all Dual Enrollment courses that the
Guidance Counselor/home school official approves for the student to take during the term/year enrollment intention listed at the top of this form.
Note: Courses that are illegible, have ‘white-out’ under them or are crossed out will not be accepted as approved.
MDC Course (e.g. ENC1101) Course Title Reference Number High school subject area met
_____________________ _________________________________________ ____________________ ________________________________________
_____________________ _________________________________________ ____________________ ________________________________________
_____________________ _________________________________________ ____________________ ________________________________________
_____________________ _________________________________________ ____________________ ________________________________________
_________________________________________________________________________________ Public/Charter Private Home School
Name of High School
High School Unweighted GPA __________________________
_________________________________________________________________________________
Address City State Zip Code
_________________________________________________________________________________ _(____)____________________________________________
Name of Guidance Counselor/Home School Official (print legibly) High School Telephone Number & Counselor Extension
___________________________________________________________________________
Signature of Guidance Counselor or Home School Official Date (MM/DD/YYYY)
__________________________________________________________________________________
Signature of High School Principal Date (MM/DD/YYYY)
PART 4 – MDC Admission and Enrollment Approval
Approved for Dual Enrollment Yes No
__________________________________________________________________________________ ___________________________________________
Signature of MDC Dual Enrollment Coordinator Date (MM/DD/YYYY)
__________________________________________________________________________________ ___________________________________________
Signature of Admissions and Registration Officer Date (MM/DD/YYYY)
AFFIX OFFICIAL
HIGH SCHOOL SEAL OR
HOME SCHOOL STAMP
AR Form 1c (01/2015)
HIGH SCHOOL/HOME SCHOOL - MIAMI DADE COLLEGE
DUAL ENROLLMENT PROGRAM INFORMATION AND
ADMISSION REQUIREMENTS
1.
What is Dual Enrollment?
Dual Enrollment is a program that allows eligible high school students currently attending Miami-Dade County public schools (M-DCPS), accredited private high
schools, or home school to simultaneously enroll in college courses. The credits that students earn must be used toward both high school graduation and toward a
college level degree (such as Associate or Baccalaureate), or college level certificate. (See www.mdc.edu/asa/dual_enrollment.asp.)
2.
Who is eligible for the Dual Enrollment Program at Miami Dade College (MDC)?
Students in grades 6-12 who meet high school GPA and placement tests requirements may participate in Dual Enrollment.
a.
Earned a minimum 3.0 high school unweighted grade point average (GPA). A minimum 2.5 weighted GPA is required for Student Life Skill (SLS) courses.
b.
Earned college ready scores in reading and writing of a state-approved placement test such as SAT/ACT, FCAT, CPT, or PERT.
c.
Obtained permission from parent, Guidance Counselor and Principal (as indicated by signature on Dual Enrollment Program Application).
d.
Expressed intent to pursue a postsecondary degree.
e.
Completed an interview with an MDC Dual Enrollment Coordinator.
3.
Who pays the college tuition for Dual Enrollment?
a.
Public, charter, and private school students are exempt from registration, tuition, laboratory fees, and special fees for eligible Dual Enrollment courses.
b.
As of July 1, 2013 public, charter, and private high schools shall reimburse the college for Dual Enrollment instruction provided to its students.
c.
Home school students are also exempt from any fees if taking courses that count toward high school graduation.
4.
Who pays for the textbooks?
a. M-DCPS students will receive their books at no cost. Students are issued a Dual Enrollment book voucher by their high school advisor. Charter Schools will
provide textbooks for their students participating in Dual Enrollment.
b.
Private high school students and home school students must pay for their own books and other instructional materials.
5.
Are all college courses available through Dual Enrollment?
No, there are some restrictions on the choice of course(s), such as the following:
a.
Courses selected by high school students and their guidance counselors must be on the approved Dual Enrollment list of courses that meet the
requirements for high school graduation. www.mdc.edu/asa/documents/approved_dual_enrollment_courses.pdf
b.
Courses on the approved list will count toward students’ high school graduation as certified by the high school principal’s signature on the form.
c.
Students participating in Dual Enrollment courses must follow the College’s calendar.
d.
Developmental education courses, private lessons, fully online or independent study courses are not eligible for Dual Enrollment.
6.
How many courses are students allowed to take per semester?
a.
Dual enrollees can enroll in a maximum of two (2) college courses, excluding labs, totaling no more than eight (8) credits each academic term.
b.
The amount of work necessary to succeed in Dual Enrollment courses will be more than in high school courses. Students and high school Guidance
Counselors should take into consideration the College academic requirements, course scheduling, meeting times, transportation and travel time.
7.
When and where may Dual Enrollment courses be taken?
These courses may be taken before, during or after high school hours and during the summer. They may be offered at the high school, college, or other approved
locations. Students and/or parents/guardians are responsible for the student’s transportation to and from the Dual Enrollment locations.
8.
How do I participate in the Dual Enrollment program?
a.
Students must submit the Miami Dade College Admission Application together with the Dual Enrollment Program Form, which must include signatures of
the student, parents/legal guardian, guidance counselor, and high school principal. It must also bear the official high school seal/home school stamp.
Online applications are not accepted.
b.
Both the Admission Application and Dual Enrollment Program Form must be submitted to the Admissions and Registration Office or Dual Enrollment
Coordinator at the MDC selected on the Dual Enrollment Program Form, at least 10 business days prior to the first day of the requested term of
enrollment.
c.
An eligible home school student must provide proof of enrollment in a home education program by submitting the signed “Dual Enrollment Verification
Form for Students Registered with M-DCPS Home Education Program”. A home schooled student and parent must enter into an Articulation Agreement
with the College. The student should also submit an academic plan specifying courses they have taken through home school, and courses to be taken at
MDC.
9.
What do I need to do every academic term?
a.
Students will be required to provide a complete Dual Enrollment Program Form each term in order to retain enrollment eligibility.
b.
Students whose college GPA falls below 2.0, or high school unweighted GPA falls below 3.0, are ineligible to continue Dual Enrollment.
10
Will Dual Enrollment courses transfer to other colleges and universities?
a.
These credits will transfer to any Florida public college or university offering that course with the same prefix and number.
b.
Upon high school graduation, if students do not attend the same college or university where they earned the Dual Enrollment credit, the application of
transfer credit may vary at the receiving institution. Dual Enrollment courses become a part of a student’s permanent college academic transcript.
11.
What happens if I withdraw from a class?
Students who officially withdraw within the established deadline will have a “W” (withdrawal grade) posted on the college transcript, which may affect high school
graduation. Students who withdraw from a course cannot repeat the same course as a Dual Enrollment student, but can enroll in other courses, if eligible.
