Dual Enrollment Application

On-Campus courses are available for the Fall 2026 semester.
Accelerated online courses are available for all semesters.

* indicates a required field

Dual Enrollment Information

In which semester would you like to take classes?

Have you ever taken Dual Enrollment credits at Etown before?

When?

Please select your preferred course format(s):

On-Campus

Online

Student Information

Legal First Name:

Preferred First Name (if different):

If a preferred name is provided, we will use it in all communications including physical mailings to your mailing address.

Last Name:

Birthdate:

Mailing Address:

Country

Street

City

Region

Postal Code

Email Address:

Mobile Phone:

Social Security Number:
Please note that SSN is optional at this point, but we will ask for it later when you officially enroll.

I would like to leave my SSN blank for now.

High School Information

Please select the statement that best describes the format of your high school classes.

I take all or most of my classes in person at my high school.

I take all or most of my classes online.

I am homeschooled.

Other

Other:

High School:

High School Graduation Year:

School Counselor Information

You are required to provide your Guidance Counselor's information so that we can confirm your eligibility to enroll for Dual Enrollment courses.

First Name:

Last Name:

Email Address:

Requested Courses

Please refer to our lists of on-campus and online course offerings.

How many courses would you like to request?

Requested Course #1

Code:

Name:

Meeting Days & Time:

Requested Course #2

Code:

Name:

Meeting Days & Time:

Requested Course #3

Code:

Name:

Meeting Days & Time:

Student Demographic Information

Federal guidelines mandate that we collect data on the legal sex of all our students. Please report the sex currently listed on your birth certificate.

Legal Sex:

Gender:

Other:

Pronouns:

Other:

Country of Citizenship:

Are you a Permanent Resident of the United States?

We are required by federal regulations to report certain demographic information about our applicants. Your responses are voluntary and will not impact your application to Elizabethtown College.

Do you identify as Hispanic or Latino?

Regardless of your answer to the previous question, please check all of the ethnicities that best describe you.

What is your religious affiliation?

Other:

Parents' Marital Status:

With whom do you make your permanent home?

If you are able, please enter information for all of your parents/guardians.

DeleteParent/Guardian _ID_
Family Information
First Name: Last Name: Relation to Student: Email Address: Phone Number: Highest Degree Obtained: Year Received:

Add Parent/Guardian

Minors on Campus

While the College recognizes you as a member of its vibrant community, the law still identifies you as a “minor on campus.” This legal standing, as an individual under the age of 18, means there are some restrictions to your activity and involvement while on campus. With the exceptions of your academic classes and course-required experiences and any campus event that is open to the public, you are, at all other times, required to be accompanied by your Elizabethtown College instructor or your parent/guardian while on the Elizabethtown College campus.

As a minor on campus who is enrolled at Elizabethtown College, you are not permitted in residential or athletic facilities or other campus buildings unless the purpose relates to a specific course and you are accompanied by your Elizabethtown College instructor or your parent/guardian.

As a member of the Elizabethtown College community, all dual-enrolled students must abide by the Standards of Conduct described in the Elizabethtown College Student Handbook. Failure to comply will result in a formal notification to your parent and affiliated high school and, depending on the violation, may result in your immediate removal from the course(s) and the Dual Enrollment Program.

By signing below, you acknowledge that you have read and agree to the conditions of the Elizabethtown College Dual Enrollment Program. A Parent or Legal Guardian signature is required as well.

These signatures also serve to authorize the release of information concerning your progress, including early warning notices and your final grade report, to the high school guidance office as deemed necessary.

Student E-Signature:

Parent/Guardian E-Signature:

Find Information for:

Additional Resources

Dual Enrollment Application

* indicates a required field

If a preferred name is provided, we will use it in all communications including physical mailings to your mailing address.

Federal guidelines mandate that we collect data on the legal sex of all our students. Please report the sex currently listed on your birth certificate.

We are required by federal regulations to report certain demographic information about our applicants. Your responses are voluntary and will not impact your application to Elizabethtown College.