Online instruction and services extended for the remainder of Spring semester due to COVID-19. Stay up-to-date with the latest announcements. Updated: 4/6/20 @ 2:46 p.m.

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CHECK SHEET FOR ENROLLMENT Dual Enrollment Bishop State Community College

CHECK TO SEE IF YOU HA VE COMPLETED ALL OF THE REQUIRED APPLICATIO STEPS PRIOR TO SUBMITTING YOUR APPLICATION AND REQUIRED PAPERWORK. COMPLETE THIS CHECK LIST AND THEN SUBMIT YOUR APPLICATION.

1. ALL STUDENTS:

Application for dual enrollment for dual credit

2. FOR STUDENTS ENTERING A CAREER-TECHNICAL PROGRAM:

Application for Admission for Dual Enrollment for Dual Credit

This application is for accelerated credit and/or dual enrollment purposes. Once you have graduated high school, you must complete the regular College Application for Admission to be admitted as a college student.
Self-identification of information regarding sex, ethnicity, and race is optional. If you choose to self-identify, the information will be used only for federal/state reporting and will not affect the admission decision in any way.
Name of InstitutionCity/StateDate of AttendanceDegree EarnedAre you on suspension? 
I certify that the information contained on this application is true and correct to the best of my knowledge. I understand that any false statements or information may result in disapproval of this application or expulsion from the College.
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The College is committed to equal opportunity education. The College is guided in philosophy and practice by the principle that individuals shall not be treated differently because of race, creed, religion, color, sex, age, national origin, or disability, and that legitimate and reasonable access to facilities shall be available to all. This principle particularly applies to the admission of students in all programs of the College in their academic pursuits. It is also applicable in extracurricular activities, all student development services, employment of students by the College, and employment of faculty and non-instructional staff. Therefore, the College is in compliance with Titles VI and VII of the Civil Rights Act of 1964, as amended ; the Civil Rights Act of 1991 : Executive Order 11246, as amended; Title IX of the Educational Amendments of 1972; Section 504 of the Rehabilitation Act; and the Americans with Disabilities Act of 1990. The College is an Affirmative Action/Equal Employment and Educational Opportunity Institution. If you require reasonable accommodations under ADA, please let us know.

Statement of Eligibility for Dual Enrollment for Dual Credit Students

Your acceptance to the Dual Enrollment for Dual Credit program at Bishop State Community College will be official only upon receipt of this form, completed and signed by the counselor of your local school, and a completed Application for Admission for Dual Enrollment for Dual Credit.
This section is to be completed by the student. The student and parent must also sign the Authorization for Release of Records statement at the bottom of the form.
Type of Dual Enrollment courses:
This Section to be Completed by High School Counselor:
This student is enrolled in the
Student has a minimum cumulative (unweighted) GPA of 2.5. I hereby recommend that this student be admitted to the Dual Enrollment for Dual Credit program at Bishop State Community College. (Transcript must be attached.)

Please list College course(s) student is approved to take during the current semester/term.

Fall SemesterSpring SemesterSummer Semester 

Authorization for Release of Records

According to the Family Educational Rights and Privacy Act of 1974 (FERPA), all rights of access to students' educational records transfers from the parent(s) to the student when the students become 18 years of age OR are enrolled in an institution of postsecondary education. In order to comply with the requirements of FERPA,
College shall obtain written consent from students before disclosing any personally identifiable information from his/her educational records.
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CERTIFICATION OF ELIGIBILITY FOR IN-STATE RESIDENCY

I. I AM A LEGAL RESIDENT OF THE STATE OF ALABAMA.

CHECK ALL THAT APPLY:

I understand that I may be asked to provide documentation for items that I have checked. I agree to notify the college if there are any changes in the information submitted with this form. I understand that an out-of-state student cannot attain residency simply by attending school for 12 continuous months in the State of Alabama.

II. I AM A NON-RESIDENT WHO MEETS THESE QUALIFICATIONS FOR IN-STATE TUITION

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The Alabama Community College Board of Trustees through the Alabama Community College System proclaims nondiscriminatory practices in Alabama two-year institutions under the jurisdiction of the Alabama Community College Board of Trustees. It is the official policy of the Alabama Community College System and Bishop State that no persons shall, on the basis of race, color, disability, sex, religion, creed, national origin, or age, be excluded from participation in, be denied the benefits of. or be subjected to discrimination under any program, activity, or employment. Rev. 10/2018