Midland University Dual Enrollment Application

    Birthdate
    Mailing Address




    Are you Hispanic or Latino?
    Select one or more of the following races:
    Dual Enrollment Course Information -- EACH course costs $250.00
    Select which course(s) you would like to dual enroll in.
    I certify that the statement I have made on this application are correct and complete.
    Date
    Date
    Dual Enrollment Application is Officially complete when both signatures have been received.
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