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Dual Enrollment Application

If you are currently a high school student and wish to earn college credits BEFORE you graduate from high school, you should complete the Dual Enrollment Application form below. If you are currently a high school student or high school graduate and wish to apply to PCCC to begin classes AFTER you graduate from high school, go to www.pccc.edu/applytoday to be linked to your on-line application for admission to the College. If you are not sure which application you should complete, contact the Office of Admission at admissions@pccc.edu
Student Information
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Location
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High School Information
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I certify that the information on this application is correct and true to the best of my knowledge. I understand that the submission of false information may result in dismissal from the College. In addition, I understand that upon my enrollment, I will abide by the policies and regulations of the College.

I understand that by registering for a PCCC course I am creating a permanent college record. I understand that course content and assignments are determined by PCCC faculty and geared to a college age audience.

The Family Education Rights and Privacy Act (FERPA) protects the privacy of student educational records, regardless of age. I give permission to PCCC and waive my privacy rights for academic and conduct information to be shared with the high school and parents or legal guardians.
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Ethnicity (Optional)
Both the State and Federal Governments periodically require that we submit information on the characteristics of our students. Your response to this section is voluntary, but will help us in implementing our affirmative action policy. PCCC is an equal opportunity institution. This information does not affect admission or placement.