Application for Admission Results page
Upon submission, you will immediately receive a Letter of Acceptance with your Richland College
Student ID number, Pending letter or Unfortunately letter
Please print a copy of the Admission Results page to submit with other application forms
Email the Dual Credit office with your Name, High School, Birthdate and App Nbr (Application number in for Office Use Only box) with Pending or Unfortunately letters
High School Student Enrollment Form
Choose dual credit course selections with your High School Counselor
Signed by Student, Parent, High School Counselor
Consent to Emergency Treatment Form
Signed by parent if student is under the age of 18
Signed by student if student is the age of 18 or over
FERPA Release/Registration by Proxy Form
Form must be completed to release information to parent(s) regarding the admissions and registration process
Copy of Picture ID is required for student and proxy representative (parent)
Official High School Transcript
Request an official high school transcript with signature of high school official and/or seal embossed on transcript
Home School Transcripts must include title of each course with letter grade, signature of educator and/or principal, and seal of notary public
College Placement Scores or Complete Pre-Assessment Activity
Submit copies of qualifying test scores for TSI Exemption: 11 th
grade exit level TAKS, STAAR EOC,
ACT, or SAT (Please read Texas Success Initiative: Testing for Dual Credit)
If you are not TSI exempt, complete the Step for the Pre-Assessment Activity
Bacterial Meningitis Vaccination Verification Form: located at www.richlandcollege.edu/dual
Proof of vaccination is due no later than 10 days before the 1st day of class for all Dual
Credit Students of each semester session for courses taken on any DCCCD campus.
Some exemptions from the State of Texas Immunization requirement may apply. Please check with the Dual Credit office to determine if you meet the qualifications for exemption.
DEADLINES FOR DUAL CREDIT
Turning in completed application to Richland College – Check with your high school counselor for deadlines
Taking the TSI Assessment or submitting other scores – No less than two weeks before classes begin
Students must meet the Dual Credit eligibility requirements as outlined by the Texas Higher Education Coordinating
Board and the DCCCD Dual Credit guidelines to participate in the Dual Credit program. If a student needs to take the TSI assessment, they can do so at the Richland College Testing Center after the completed application packet and Pre-Assessment Activity has been verified by the Dual Credit Advisor.
Return all completed and signed forms –Application for Admission Results page, High School Student Enrollment
Form, Consent to Emergency Treatment form, FERPA Release/Registration by Proxy form, official high school transcript, college placement scores, and proof of Bacterial Meningitis vaccination to the Dual Credit office in
Crockett Hall C192 at Richland College. Students cannot be tested and registered until the admissions process and pre-assessment activity is completed.
Richland College is required to have all admissions requirements on file for all dual credit students in order to comply with The Texas Higher Education Coordinating
Board’s audit process.
Please refer all questions to: Richland College Dual Credit Office, Crockett Hall C192
Office phone: 972-238-6190 Office fax: 972-761-6877 Email: dualcredit-rlc@dcccd.edu

Instructions for setting up your eConnect Account eConnect is a web interface that provides a variety of online services to DCCCD students, faculty, and employees. The following is a list of some of the services that are provided for Dual Credit Students:
•View class schedule •Add/change phone number or emergency contact
•View final grades at the end of the course
•Request a transcript
•Access student record (Advising Report, your unofficial transcript)
•Add/change e-mail address information
•Fill out Student Information Profile
•Request privacy of directory information
•Buy textbooks online through the campus bookstore
How to obtain your Richland College Student ID Number
A. eConnect
1. Go to www.richlandcollege.edu
2. Click on the Online Tools and select eConnect
3. Click the Current Credit Student Menu
B.
4. Click the link Get My Student/Employee ID under the my eConnect Account heading on the right
5. Enter your Last Name, Date of Birth, and Social Security Number and click submit
Note : This option will only provide your student ID number if you submitted your social security number on your admission application.
Your eConnect Student/Login ID can also be found on :
• Your registration summary (receipt)
• The back of your Student ID card
• Your DCCCD transcript
• Your advising report
How to setup your eConnect Account
Once you know your Student ID, you can set up your eConnect account for the first time. Go to www.richlandcollege.edu
and select eConnect through the Online Tools.
1. Click the Current Credit Student Menu
2. Select Setup My eConnect Account
3. Enter your Last Name, Birth Date, Email Address, and Student ID number. Press Submit.
Note : Your email address must be the same email address used on your admission application. If you used your parent’s email address on your application, then you must enter their email address. Once you have logged into eConnect you may change your email to the address you check most often or setup your DCCCD Student Netmail account.
Note : When you setup your eConnect Account, you may receive the following the error message: Name not found in eConnect database. If so, please use the Add My Name to the Registry screen and enter the requested information. Please allow 2 business hours for your name to be added to the eConnect database. After waiting 2 business hours, follow the steps above to setup your eConnect account.

ATTENTION STUDENT:
YOU MAY WANT TO RECORD, ON THIS PAGE, YOUR RICHLAND COLLEGE STUDENT ID
NUMBER AND THE EMAIL ADDRESS YOU ARE USING WHEN YOU SUBMIT YOUR
APPLICATION FOR FUTURE REFERENCE REGARDING ECONNECT SET UP
1)
Go to eConnect
or
Go to www.richlandcollege.edu
Click on the Online Tools (at the top of the screen) and select eConnect
Click the Current Credit Student Menu
Note: View the Pre-Assessment Video without logging in
2) Under “Prepare to Register” select Pre-Assessment Video
3) Select “Richland College”
4) Watch a 17 minute video.
5) Select “Continue to Assessment” when you are done with the video.
6) You will have to login for this next part.
If you have not yet set up your eConnect account, please go to Set Up My eConnect Account and follow instructions to set your account up. You may need the following information:
Student ID Number:
Email address on file:
7) Once you are logged in, under “Prepare to Register” select Pre-Assessment Quiz.
(It will show up in the same area where you had selected the Pre-Assessment Video.)
8) Click the box next to the wording that says, “I certify that I have watched the Pre-
Assessment Video.” Then click Submit.
9) Complete the short Quiz (practice test). Review your results so you’ll know what to study before you take the actual TSI exam.
10) Send an email to Dual Credit Office , dualcredit-rlc@dcccd.edu
, to get a Test Referral form, so you can complete your TSI testing on the Richland College campus.

The Texas Success Initiative is a state mandated program designed to help colleges and universities determine students’ preparedness for college-level coursework in the general areas of reading, writing and mathematics. All incoming college students in Texas are required to take the TSI Assessment unless you qualify for a TSI exemption. A
Dual Credit Advisor will use the results of the college placement scores to determine your readiness for college level enrollment through the Dual Credit program.
You are TSI exempt if:
1.
SAT: A student has an SAT composite score of 1070, with a minimum of 500 on the math and critical reading portions of the test. Test score must be less than 5 years old and achieved in one sitting.
2.
ACT: A student has an ACT composite score of 23 with a minimum of 19 in both the math and English portions of the test. Scores must be less than 5 years old and achieved in one sitting.
3.
STAAR (EOC): A student has a minimum score of Level 2 on the English III shall be exempt from the TSI
Assessment required under this title for both reading and writing, and a minimum score of Level 2 on the Algebra
II EOC shall be exempt from the TSI Assessment required under this title for the mathematics section. Scores must be less than 5 years old.
4.
TAKS: A student has an 11th grade TAKS score with a minimum of English Language Arts 2200 and a writing sample of a 3. Both minimum scores are required to meet placement for reading and writing. TAKS math score of
2200 will exempt a student in math. Scores must be less than 5 years old.
There are other Dual Credit eligibility requirements and TSI exemptions approved by the Texas Higher Education
Coordinating Board. Dual Credit students may receive a TSI waiver based upon the eligibility requirements below.
• PSAT : a combined critical reading and math score of 107 on the PSAT/NMSQT with a minimum of 50 on the critical reading and/or mathematics test(s) relevant to the courses to be attempted
• PLAN : a composite score of 23 on the PLAN with a 19 or higher in Mathematics and English
• Have enrolled in a Level-One certificate program
If you are not exempt or waived from taking the TSI Assessment, you may be asked to take three TSI Assessments: one in reading, one in writing, and one in mathematics based upon course selections for dual credit after completing the Pre-Assessment Activity. Where necessary, you may be given an additional diagnostic test in a particular subject.
The TSI Assessment is designed to provide more detailed information regarding your academic strengths and weaknesses.
For more information on the TSI Assessment, contact one of the Dual Credit Team Members at Richland College.
Students will receive a test referral to complete the examination in the Richland College Testing Center after turning in the completed admissions application packet to the Dual Credit office, and the Pre-
Assessment Activity completion date has been verified by the Dual Credit Advisor.
We recommend completing the Pre-Assessment Activity and contacting the Dual Credit office by email at least 48 hours prior to requesting a test referral.
Take advantage of free sample questions provided by College Board to improve in areas where your academic performance is not the strongest. These sample questions help you familiarize yourself with the types of questions asked on the TSI Assessment. To access the full TSI sample questions document, visit www.collegeboard.org/texassample-questions and review the sample TSI WritePlacer essays and TSI Test Content at http://accuplacer.collegeboard.org/students/prepare-for-accuplacer .

Brookhaven Cedar Valley Eastfield El Centro Mountain View North Lake Richland
Colleges of the Dallas County Community College District
HIGH SCHOOL STUDENT ENROLLMENT FORM
PLEASE USE ONLY BLUE OR BLACK INK
This certifies that ___________________________________________, DCCCD ID/ SSN optional________________________, is or will be enrolled as a student at _________________________________ _High School and has permission to concurrently enroll with Brookhaven, Cedar Valley, Eastfield, El Centro, Mountain View, North Lake, and/or Richland.
List your College Course Names and complete the checklist for each course to be taken , pending approval , in the appropriate semester.
College Course Name(s)
1.
FALL
2014
SPR
2015
SUM I
2014
SUM II
2014
Dual
Credit
College
Credit Only
2.
3.
4.
I understand I will be enrolling in a college credit course(s) at one or more of the colleges and will be receiving a letter grade that will be recorded on my permanent college transcript. A numerical grade will appear on the high school transcript for dual credit courses; conversion of grades is the responsibility of the respective high school. It is the student’s responsibility to verify the transferability of courses with the institution of choice.
Eligibility for continued participation in this program requires satisfactory academic performance at the high school; earned grades of A, B or C in all college courses; and parental and school approval for each subsequent semester of enrollment. A student who earns grades of D or F may not be eligible for future dual credit courses or may have restrictions. Also, students are not eligible for state or federal financial aid while enrolled in high school. However, because they are recorded on the college transcript, grades earned for dual credit/concurrent courses can impact a student’s future financial aid.
I understand that if I wish to withdraw from my college course(s), it is my responsibility to first discuss this matter with my high school counselor. Also, it is my responsibility to submit the required withdrawal form to the College Dual Credit/Concurrent Enrollment Coordinator or College Registrar by the published deadline.
A non-immigrant visa student is responsible for maintaining his/her own visa status. I understand it is my responsibility to verify my status and my ability to take college courses through dual credit enrollment.
I understand that I MUST be enrolled as a full-time student at my high school, and I cannot enroll in more than two college courses per semester, district-wide, without special permission. Only one dual credit waiver per approved course is allowed. However, a student is responsible for tuition of a repeated course and costs of online dual credit courses offered outside Dallas County.
I understand that ACADEMIC FREEDOM is practiced at all of the colleges of the Dallas County Community College District. Academic Freedom allows faculty and students to pursue whatever inquiry they feel is important and to speak about it in the classroom without fear of censorship. I understand that within a college environment, students may encounter adult language and images, different philosophical viewpoints and belief systems. I understand that appropriate and essential discipline-specific terminology, concepts and principles are utilized as needed in the classroom setting. All high school students are held accountable to policies, rules, and regulations of the colleges of the Dallas County Community College District. For more information see www.dcccd.edu
I authorize the college to release my transcript to the above named high school related to my college enrollment.
_________________________________________________ _________________________________________________
Student Signature Date Parent/Guardian Signature Date
__________________________________________________ ___________________________________________________
Signature of High School Official Title Date
Signature of College Official Date
Approval signatures are required for a student to take more than two college courses per semester ( district-wide ).
_______________________________________________________ ______________________________________________
College Chief Academic Officer or Authorized Designee Date High School Principal Date

Under Age 18
PLEASE USE ONLY BLUE OR BLACK INK
________________________________________ _________________
Print Name (Last, First, Middle) Date of Birth
Dual Credit
Program
on behalf of Richland College (College) is an educational institution in which
_________________________________________________, a student, is enrolled and College has received written authorization to consent to emergency medical treatment from a person having the right to consent as follows:
, _______________________________________, the __________________________ [relationship to student] grant College permission to authorize emergency medical treatment for the above named student. This authorization is effective until the student’s 18 th
birthday, which is
___________________________________ [date]. The undersigned is responsible for all medical costs associated with this authorization.
________________________________________
Signature of Parent or legal guardian
_________________________________
Work No. Home No.
________________________
Date
______________________________
Cell Phone Pager No.
In the event that parent or legal guardian cannot be reached, please contact
Emergency Contact #1:
________________________________________________________________________
Name Relationship Work/Home No.
Emergency Contact #2:
________________________________________________________________________
Name Relationship Work/Home No.
Allergies:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
Current Medications & Dosages: ______________________________________________________
_____________________________________________________________________________________________________________________
List Health Problems You Believe the College Should Be Aware of In Case of Emergency:
_____________________________________________________________________________________
Tex. Family Code § 32.001 Dec, 2008

PLEASE USE ONLY BLUE OR BLACK INK
DCCCD ID No.
Last Name First Name MI
Mailing Phone:
Address: Street No. or P.O. Box
Email:
City, State & Zip
Dual Credit students enrolled in college classes are protected by the Family Educational Rights and Privacy Act (FERPA) of 1974. In order to comply with federal laws dealing with the confidentiality of official student records (FERPA), the student must sign a written release authorizing registration by a proxy and/or authorizing the release of the student’s educational information to the proxy. If the student wishes to be registered by the parent(s) or allow parent(s) to have access to certain educational records this form must be completed, signed and submitted to Richland College. The student has the ultimate responsibility to make sure the registered courses are correct. The student may cancel the release at any time by submitting another FERPA form. The release is valid until the date of the student’s High School
Graduation as confirmed on the final official high school transcript or when an updated form is received by Richland
College. Anticipated High School Graduation Date: (Month/Year)
AUTHORIZATION TO RELEASE EDUCATION INFORMATION AND/OR REGISTRATION BY PROXY
Admission –Includes application and documents received for admission status, documents pending, and conditions of admission, correction of address and telephone numbers and signing documents on my behalf
Academic Records – Includes grades received, GPA, and academic progress
Registration – Includes current enrollment, dates of enrollment, enrollment status, residency status, semester attending and mailing address information
Registration by Proxy – Includes course selection, obtaining copy of advising report, adding and dropping courses, and paying tuition if necessary
( P=Parent, G=Guardian, O=Other)
Release to Relationship (Circle one): P G O Cancel:
Name Date of cancelation
Release to Relationship (Circle one): P G O Cancel:
Name Date of cancelation
I hereby grant Richland College permission for the release of my educational information selected above and/or permission for the individual(s) designated above to serve as the authorized proxy for the selected services above.
Student’s Signature Date Signature of Proxy #1 Date
Signature of Proxy #2 Date
NOTE: STATE ISSUED IDENTIFICATION CARD WITH PICTURE IS REQUIRED FOR BOTH THE STUDENT AND THE
PROXY WITH THIS FORM: Official state driver’s license is preferred. Students may submit a high school identification card, but will be required to sign and print legal name on photo copy.
Office Use Only: Picture ID Verified by: Date: