Early/Middle College High Schools or Programs
District:
Count Date:
Building/Program:
This form is for identifying pupils enrolled in an early college or middle college high school or program established by an
agreement between an ISD or school district and a public or private college, university, community college or junior college,
and recognized as a formal E/MC high school or program by the Michigan Department of Education.
These 5 year public high schools/programs are designed to allow a pupil to earn a high school diploma while also earning an
associate’s degree, advanced certificate, or up to 60 transferable college credits toward a four year degree.
Important: Print and attach a list of pupils included in district’s membership count who are enrolled in an early
college/middle college high school program. Ensure these students are reported in MSDS with Program Participation
Code = 3500.
Provide information requested below
Name of Early College or Middle College
High School/Program
Name of Principal/Director
Include Contact Information
Physical Location
of Program
Where Classes are Provided
Post-Secondary
Institution Providing
Instruction
Sep 2014