Admission Application for Dual Enrollment
Name
Other names under which you were enrolled at this or any other institution(s)
Permanent Address
Mailing Address
Telephone
Cell Phone
Email
Gender (Male, Female)
Date of Birth
When do you plan to begin?
Country of Citizenship
Language spoken in home
Current High School
Month and Year of Graduation
Month and Year SAT or ACT was or will be taken
Course(s) I plan to take as a dual enrolled high school student at Florida Tech (limited to 12 credit hours total)
Optional Information
Race
ADVISER: Rodd Newcombe, Academic Support Center
MAJOR CODE: 0011
Program Features
Application Process
Complete this form and submit to Florida Tech's Office of Undergraduate Admissions prior to the start of Florida Tech courses.
Submit a high school transcript.
Submit SAT or ACT scores.
Submit a plan of courses the student intends to complete at Florida Tech.
Submit official letter of endorsement from the high shcool counselor or principal.
When all application materials are submitted, a decision regarding dual admission as a "Special High School Student" will be made.
I understand and agree to the terms and conditions set in this document.
Name
Signature
Date
Florida Institute of Technology is accredited by the Southern Association of Colleges and Schools Commission on Colleges to award associate, baccalaureate, master’s, education specialist and doctoral degrees. Contact the Commission on Colleges at 1866 Southern Lane, Decatur, Georgia 30033-4097 or call 404-679-4500 for questions about the accreditation of Florida Institute of Technology. Florida Institute of Technology is committed to nondiscrimination on the basis of race, color, ethnic or national origin, sex, sexual orientation, gender identity, religion, age, ancestry, disability, genetic information, military status, protected veteran status, or other non-merit reasons in admissions, scholarship and loan programs, educational programs, athletic or other university sponsored programs or activities, and employment including employment of disabled veterans and veterans of the Vietnam Era, as required by applicable laws. Contact the Title IX Coordinator at (321) 674-8700.