Concurrent Enrollment Approval Form

Date *

mm/dd/yyyy

Student ID *

Name of Student *

Student Email *

Program *

The above named student is permitted to take the course(s) indicated below during the following semester at the school listed below.

Semester *

School Attending *

Course Title/Number 1 *

HCCC Equivalent 1 *

Course Title/Number 2

HCCC Equivalent 2

*

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