Summer 2025 Momentum Coding Academy

Monday, June 30, 2025 until Friday, August 8, 2025

The academy takes place Monday - Friday from 9am - 2pm. Please note there is no session on July 4. The application deadline is April 30, 2025.

* indicates a required field

Dual Enrollment Information

Have you ever taken Dual Enrollment credits at Etown before?

When?

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:

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:

Select your citizenship status:

Set Primary Citizenship to United States (Hidden)

Select the country of your primary citizenship:

If you have a visa, please select the type:

High School Information

Begin typing the name of your school and select it from the dropdown.

High School:

I am homeschooled.

High School Graduation Year:

GPA:

Student Demographic Information

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/a/x?

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

Would you be a first-generation college student?
*A first-generation college student is someone whose parents or guardians did not complete a four-year college degree.

Teacher, School Counselor, or Community Partner Providing Recommendation

You are required to provide a Teacher, School Counselor, or Community Partner's information so that we can confirm your eligibility to enroll for a Dual Enrollment course.

First Name:

Last Name:

Email Address:

Other Information

Why do you want to attend Momentum Coding Academy?

Please list any allergies or medical conditions we should be aware of:

Please list any scheduling conflicts you would have with the course:

How did you hear about this program?

Other:

Parent / Guardian / Emergency Contact Information

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

DeleteParent/Guardian _ID_
First Name: Last Name: Relation to Student: Highest Degree Obtained: Year Received: Is this individual an emergency contact? Email Address: Phone Number:

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

Summer 2025 Momentum Coding Academy

* 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.

Begin typing the name of your school and select it from the dropdown.

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.