High School Students Earning College Credits

Program Selection and Information

Program (select one):

What you need to submit your application:

An electronic copy of your current high school transcript with GPA
Permission Certification Agreement, which you can find here

What you need to submit your application:

An electronic copy of your current high school transcript with GPA
Permission Certification Agreement, which you can find here

Student Information

Student First Name

Student Middle Name

Student Last Name

Student Date of Birth

Student Gender

Female

Male

Student High School Email Address

Confirm Student High School Email Address

Student Cell Phone Number

Student Mailing Address

Country

Street

City

Region

Postal Code

Are you a first generation college student?
(For these purposes, “first generation” means that neither of your parents or legal guardians have completed a four-year bachelor’s degree)

Yes

No

Briefly describe how you plan to travel between your high school and La Salle University (i.e.: driving, SEPTA, etc.)

Religious Affiliation

Are you Hispanic or Latino?

Yes

No

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

How did you hear about this program?

Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Phone Number

Parent/Guardian Email Address

Parent/Guardian Relationship to Student

Academic Information

High School Currently Attending (Please click the name of your high school when it appears in the list)

Expected High School Graduation Year

School Counselor Name

School Counselor Email Address

Cumulative GPA

GPA Scale (ex: 4.0, 5.0, 100)

Have you previously attended courses at La Salle University?

Yes

No

Have you previously enrolled in Dual or College Credit courses?

Yes

No

Name of College or University Enrolled with:

Please select all majors that interest you:

Have you ever been adjudicated guilty or convicted of a misdemeanor or felony?

Yes

No

Have you ever been found responsible for a serious disciplinary violation at any educational institution attended from the 9th grade (or international equivalent) forward, whether related to academic misconduct or behavioral misconduct, which resulted in disciplinary action?

Yes

No

Required Application Materials

1. Current High School Transcript: Please upload a current, official, or unofficial high school transcript, and any college transcripts for this student.

2. Permission Certification Agreement: Student, Parent, and School Counselor signatures required for permission to participate in the program. You can find a copy of it here.

Application Round (Hidden)

App Round Create (Hidden)

Generate PIN (Hidden)

App Submitted (Hidden)

App Submit Date (Hidden)

Campus Code (Hidden)

Level (Hidden)

Major - NOD (Hidden)

College (Hidden)

Department (Hidden)

Degree (Hidden)

Student Type (Hidden)

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High School Students Earning College Credits - Dual Enrollment