All students who desire to take a dual enrollment course text this information to Mrs. Donna Smith or complete this form prior to registering with the high school for a dual enrollment course.


Donna Smith, Dual Enrollment Coordinator      dsmith@mail.lced.net

731 413-5253



Items denoted with a red asterisk * are required.
 
 
 
 * Student's Last Name
 
 * Student's First Name
 
 * Student Cell Phone #
 
 -  - 
(XXX)-XXX-XXXX
 * Student Email Address
 
 * School
 
 * Graduation Year
 
 * High School GPA
 
 * College DE GPA
 
 * Do you have a PLAN/ACT sub-score of at least 19 for the course area you are requesting
 
 * College Course Requested
 
 * 2nd College Course Requested
 
 * If the course you requested is not available at your high school, can you arrange transportation and attend class at a college campus?
 
 
 
 
 * Parent's/Guardian's Name
 
First Name
M.
Last Name
 * Parent Cell Phone Number
 
 -  - 
(XXX)-XXX-XXXX
Text Authorizing
 
Parent Email Address
 
Questions regarding Dual Enrollment