EARLY COLLEGE HS DUAL CREDIT ENROLLMENT FORM
This certifies that ___________________________________________________
Print first and last name (required)
will be enrolled as a high school
___________________________
UNT Dallas ID# (If known)
__________________________________
Date of Birth MM/DD/YYYY (required)
Senior at _____________________________________________________
Junior
Check one (required)
Name of high school (HS) (required)
for the school year __________________________ and pursuing the ECHS Pathway Option in (select one):
Hospitality Management
Logistics & Supply Chain
Teacher Education
Public Health
has permission to enroll in Early College course(s) with UNT Dallas during the Fall ________ , Spring ________ , or Summer ___________
Year
Semester.
Year
Year
I understand I will be enrolling in a college credit course(s) at UNT Dallas and will be receiving a letter grade that will be
recorded on my permanent college transcript and a numerical grade will appear on the high school transcript for college
credit courses only. To persist in the early college program and earn both college and high school credit, a grade of “C” or
better must be earned. Note: A student earning a grade of “D” or lower in a dual credit course may not be eligible for
continued program participation or may have restrictions placed on their enrollment. Academic policies applicable to
courses taught at UNTD's main campus shall also apply to dual credit courses.
By enrolling in the UNTD early college dual credit course(s), I must abide by all applicable university and high school/school
district guidelines and regulations. If approved, this application is valid only for the early college designated course(s) and
semester.
Agreed upon dual credit stipulations of a dual credit agreement between the high school/school district and UNT Dallas will be
honored, if applicable.
I authorize the UNTD to release my transcript to the above name high school related to my college enrollment.
__________________________________________________ _______________
Student Signature
Date
___________________________________________________
Parent/Guardian Signature
_______________
Date
The above named student currently attends the above named high school and meets the eligibility to participate and enroll in
the Early College High School program at UNT Dallas. Enrollment into the early college dual credit course(s) would be
beneficial to the educational program of the student. The student has demonstrated excellent attendance and conduct
and has demonstrated the responsibility necessary to participate in the dual credit college course(s).
__________________________________________________ _______________
Signature of High School Official
__________________________________________________
Name and Title of High School Official
Date
____________________________________________________ _______________
Signature of UNT Dallas Official
____________________________________________________
Name of UNT Dallas Official
Date