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Mdc-dual-enrollment-program-form Dual Enrollment Program Form

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AR Form 1c (08/2019)
DUAL ENROLLMENT PROGRAM FORM
This form must be completed every term for which dual enrollment is sought.
Instructions
An MDC Admission Application must be completed if this is the first time that the student completes this Dual
Enrollment Program Form. The MDC Admission Application must be completed and submitted to an Admissions and
Registration Office location below. The Dual Enrollment Program Form must be submitted to the Dual Enrollment
Coordinator at least 10 business days prior to the first day of the requested term of enrollment.
Term/Year Enrollment Intention Fall Spring Summer Year________
Location North Kendall Wolfson Padrón Hialeah
West MEEC Medical Homestead
PART 1 – Student’s Personal Information
Check One: New Student Continuing Student
__________________________________________________________________________________________________
Student’s Last Name First Name Middle MDC Student ID
__________________________________________________________________________________________________
Student’s Mailing Address City Zip
__________________________________________________________________________________________________
Student’s Birth Date (MM/DD/YYYY) Home Phone # Cellular Phone # Email Address
Student’s Current Grade Level 12th Grade _____
Expected High School Graduation Date(MM/DD/YYYY) __________
Part 2 – Student’s and Parent’s Certification
By signing below, the student and the student’s parent certifies the following: the student has read and will comply with
the requirements and procedures on the reverse side of this form; intends to pursue a postsecondary degree following
graduation from high school; and understands that the College will provide a transcript of grades and placement test
scores to the student’s school. All Dual Enrollment courses will be posted to the high school permanent record.
__________________________________________________________________________________________________
Student’s Full Name (print legibly) Student’s Signature Date (MM/DD/YYYY)
__________________________________________________________________________________________________
Parent’s/Legal Guardian’s Name (print legibly) Parent’s/Legal Guardian’s Signature Date (MM/DD/YYYY)
__________________________________________________
Parent’s/Legal Guardian’s E-mail Address
Select One
AR Form 1c (08/2019)
PART 3 – Dual Enrollment Course Approval
This section must be completed by the student’s school Guidance Counselor/home school official and signed by the
school principal. Please list all Dual Enrollment courses that the Guidance Counselor/home school official approves for
the student to take during the term/year enrollment intention listed at the top of this form.
MDC COURSE
(e.g. ENC1101)
COURSE
TITLE
COURSE
#
Alternate
Course
#
HIGH SCHOOL
SUBJECT AREA
MET
CAMPUS
Price
TOTAL
To the student: When available, students will be given a used book. Students are responsible for returning all
textbooks issued during each semester of study. Students will be held financially responsible for any textbook(s) not
returned to their high school.
____________________________________________ Public/Charter Private Home School
Name of School
__________________________________________________________________________________________________
Address City State Zip Code
High School Unweighted GPA________
___________________________________________________________________________
Name of Guidance Counselor/Home School Official(print legibly)
___________________________________________________________________________
School Telephone Number & Counselor Extension Guidance Counselor Email
___________________________________________________________________________
Signature of Guidance Counselor or Home School Official Date (MM/DD/YYYY)
___________________________________________________________________________
Signature of School Principal Date (MM/DD/YYYY)
___________________________________________________________________________
Principal E-mail
PART 4 – MDC Admission and Enrollment Approval
Approved for Dual Enrollment
___________________________________________________________________________
Signature of Dual Enrollment Coordinator Date (MM/DD/YYYY)
___________________________________________________________________________
Signature of Authorizing MDC Official Date (MM/DD/YYYY)
Yes
No
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AR Form 1c (08/2019)
DUAL ENROLLMENT PROGRAM INFORMATION AND ADMISSION REQUIREMENTS
1.
What is Dual Enrollment?
Dual Enrollment is a program that allows eligible high school and middle school students currently attending Miami-Dade County public schools (M-DCPS),
accredited private schools, or home school to simultaneously enroll in college courses. The credits that students earn must be used toward both high school
graduation and toward a college level degree (such as Associate or Baccalaureate), or college level certificate. (See mdc.edu/dualenrollment)
2.
Who is eligible for the Dual Enrollment Program at Miami Dade College (MDC)?
Students in grades 6-12 who meet high school GPA and placement test requirements may participate in Dual Enrollment.
a.
Earned a minimum 3.0 high school unweighted grade point average (GPA). A minimum 2.5 weighted GPA is required for Student Life Skills (SLS) courses
and a minimum 2.0 unweighted GPA is required for career and technical certificate dual enrollment.
b.
Earned college ready scores in reading and writing on a state-approved placement test such as SAT/ACT, CPT, or PERT for college credit courses.
c.
Obtained permission from parent, Guidance Counselor and Principal (as indicated by signature on Dual Enrollment Program Form).
d.
Expressed intent to pursue a postsecondary degree.
3.
Who pays the college tuition for Dual Enrollment?
a.
Public, charter, and private school students are exempt from registration, tuition, laboratory fees, and special fees for eligible Dual Enrollment courses.
b.
As of July 1, 2013 public, charter, and private schools shall reimburse the college for Dual Enrollment instruction provided to its students.
c.
Home school students are also exempt from any fees if taking courses that count toward high school graduation.
d.
If a student withdraws from the school district/private school after registering for dual enrollment and does not withdraw from the dual enrollment
classes prior to the drop/add date, the student will be held liable for the tuition cost for the courses.
4.
Who pays for the textbooks?
a.
M-DCPS students will receive their books at no cost. Students are issued a Dual Enrollment book voucher by their school advisor. Charter Schools will
provide textbooks for their students participating in Dual Enrollment.
b.
Private school students must pay for their own books and other instructional materials.
c.
Home school students receive their books at no cost. Students are issued a dual enrollment book voucher from the College.
5.
Are all college courses available through Dual Enrollment?
No, there are some restrictions on the choice of course(s), such as the following:
a.
In addition to the State’s “Dual Enrollment Course High School Subject Area Equivalency List” which identifies the MDC courses taken through dual
enrollment that satisfy high school subject area graduation requirements, any college credit course comprised of three (3) credits or more can be
considered for Dual Enrollment, subject to approval by the student’s school and MDC academic unit.
b.
Students must meet all course prerequisite and placement testing requirements for a course to be considered for dualenrollment.
c.
Enrollment in fully online college credit courses is permissible for dual enrollment students during the summer term only, beginning in summer 2017.
d.
Courses selected by students and their guidance counselors will count toward students’ high school graduation as certified by the school principal’s
signature on the form.
e.
Students participating in Dual Enrollment courses must follow the College’s calendar.
f.
Developmental education courses, physical education courses, private lessons, some recreation courses, and independent study courses are not eligible
for Dual Enrollment.
6.
How many courses are students allowed to take per semester?
a.
There is no limit on the number of courses that a dual enrollment student may enroll in each term. In order to ensure academic success, Miami-Dade
County Public School recommends that public school students enroll in a maximum of two (2) courses each term (excluding Labs).
b.
The amount of work necessary to succeed in Dual Enrollment courses will be more than in high school courses. Students and school Guidance
Counselors should take into consideration the College academic requirements, course scheduling, meeting times, transportation and travel time.
7.
When and where may Dual Enrollment courses be taken?
These courses may be taken before, during or after school hours and during the summer. They may be offered at the school, college, or other approved locations.
Students and/or parents/guardians are responsible for the student’s transportation to and from the Dual Enrollment locations.
8.
How do I participate in the Dual Enrollment program?
a.
Students must submit the online Miami Dade College Admission Application.
b.
The Dual Enrollment Program Form must be submitted to the Dual Enrollment Coordinator at the MDC campus selected on the Dual Enrollment
Program Form at least 10 business days prior to the first day of the requested term of enrollment. The form must include signatures of the student,
parent/legal guardian, guidance counselor, and school principal. It must also bear the official school seal/home school stamp.
c.
An eligible home school student must provide proof of enrollment in a home education program by submitting the signed “Dual Enrollment Verification
Form for Students Registered with M-DCPS Home Education Program.” A home schooled student and parent must enter into an Articulation Agreement
with the College.
9.
What do I need to do every academic term?
a.
Students will be required to provide a complete Dual Enrollment Program Form each term in order to retain enrollment eligibility.
b.
Students whose college GPA falls below 2.0, or high school unweighted GPA falls below 3.0, are ineligible to continue Dual Enrollment.
10.
Will Dual Enrollment courses transfer to other colleges and universities?
a.
These credits will transfer to any Florida public college or university offering that course with the same prefix and number.
b.
Upon high school graduation, if students do not attend the same college or university where they earned the Dual Enrollment credit, the application of
transfer credit may vary at the receiving institution. Dual Enrollment courses become a part of a student’s permanent college academic transcript.
11.
What happens if I withdraw from a class?
Students who officially withdraw within the established deadline will have a “W” (withdrawal grade) posted on the college transcript, which may affect high school
graduation. Students who withdraw from a course cannot repeat the same course as a Dual Enrollment student, but can enroll in other courses, if eligible.
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Completed 18 May 2020

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