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

731 413-5253

Items denoted with a red asterisk * are required.
 * Student's Last Name
 * Student's First Name
 * Student Cell Phone #
 -  - 
 * 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
Last Name
 * Parent Cell Phone Number
 -  - 
Text Authorizing
Parent Email Address
Questions regarding Dual Enrollment