Concurrent/Dual Enrollment Course Change Request Form

Use this form to request the following types of changes to your approved concurrent/dual enrollment application:

To add additional concurrent/dual enrollment courses.

To replace one or more concurrent/dual enrollment courses with new courses

To inform College and Career Services of your intention to drop a course or program for whic you have been approved

Student First Name *

Student Last Name *

Student ID number *

Grade *

High School *

Student Email Address *

Parent Name *

Parent Email Address *

High School Counselor Name *

High School Counselor Email Address *

Course Change Details

Semester of requested change *

Fall 2024

Spring 2025

I would like to add/request approval for the following courses (you must include institution, course number, prefix, and title) If none, enter "N/A": *

I would like to drop the following approved courses or programs (you must include institution, course number, prefix, and title) If none, enter "N/A": *

Please provide any additional information that may assist us in evaluating your request.