Dual Enrollment Authorization Form St. Louis Community College

Dual Enrollment Authorization Form

St. Louis Community College

Dual Enrollment Eligibility

High school students are eligible to enroll in STLCC dual enrollment classes when they:

Are in the 10th, 11th, or 12th grade
Have a cumulative, unweighted high school GPA of 2.0 or higher
Have completed an STLCC application
Have submitted a dual enrollment authorization form

Dual enrollment students must submit a dual enrollment authorization form prior to registration each semester.

Student completes online authorization form
Form automatically routes to counselor for approval.
Counselor is asked to upload high school transcript
Form automatically routes to parent for approval.
After all approvals received, STLCC staff process and review form and transcript.
Student is notified when processing is complete.
Student receives information about the next steps to complete class registration.

Are you filling this form out for yourself or on behalf of your student?*

For myself - I'm the student

For my student - I'm a parent or school employee

This form includes federal privacy releases which may ONLY be filled out by the student themselves. Regardless of age, college students are protected by FERPA and parents cannot act on the student's behalf or access their educational records without written student consent.

Submission of and signatures on this document by anyone other than the student cannot be accepted.

That said, parent/guardians and school administrators are asked to approve/decline any student registration requests prior to their completion.

Personal Information

STLCC A#*

Please enter your STLCC A number.

Don't have an A number? Complete the Dual Enrollment application at https://stlcc.edu/apply. After your application is submitted, your A number will arrive in your email within 1 business days. Email dcep@stlcc.edu with any questions.

First Name*

Last Name*

Student Phone Number*

Phone

Your Email Address*

If your school email has spam blockers, please use a personal email address.

Date of Birth*

High School Information

High School / Program*

Don't see your high school? You likely selected "Special Cohort classes" in error. Please return to the previous question and correct your program selections.

Select

High School*

Select

Please enter the name of your high school:*

School Counselor Name*

Please enter the name of a high school counselor or other school administrator who can provide permission for you to take STLCC classes.

School Counselor Email*

Please enter your counselor's email address

Class Placement Information

Semester of Coursework*

Select the semester during which you'd like to take STLCC classes.

Summer 2025

Fall 2025

Grade Level When Course(s) Begins*

Please select your grade level during the selected term.

Below 10th grade

Please select any standardized tests you have taken

If you have not taken any standardized tests, please leave this question blank.

ACT

Accuplacer

SAT

Have you taken a college credit class or passed an AP exam before?*

Yes

With whom have you earned college credit?*

For the purposes of this question, consider any AP exam credit to be from an 'Other College or University'

STLCC

Other College or University

Both

Please upload a copy of any unofficial college transcripts or ACT/SAT/AP test scores

Feel free to upload screenshots of your scores or transcript. Your name, the title of the course or test (ex: ENGL 1100: First-Year Writing), the college name or test name, and your final grade must be visible.

Drag and drop files here or

Class Selection

Select Classes*

Please select your Access Point class below. If you wish to take any classes outside of the AP program, please submit a second dual enrollment authorization form.

Select

Select Classes*

Select

Select Classes*

Select

Select Classes*

Select

Select Classes*

Select

Select Classes*

Select

Select Classes*

Select

Select Classes*

Select

Select Classes*

Select

Select Classes*

Select

Select Classes*

Select

Select Classes*

Select

Do you plan to take STLCC classes full-time or part-time this semester?*

Full-time (4 or more classes)

Part-time (1-3 classes)

Do you plan to earn a college degree or certificate by the end of high school?*

Yes

Do you know the CRNs (course registration numbers) of your desired classes?*

A CRN is a 5-digit number unique to your class, for example: 39456 or 29123. You can search for specific class sections and select CRNs by using our interactive class schedule tool.

Yes, I will enter CRNs below

No, I need help selecting classes

Do you plan to take any STLCC math classes this semester?*

Yes

Unsure

What classes are you interested in taking at STLCC this semester?*

You can be as general ("I don't know") or specific ("history classes after 11 am") as you'd like.

Not sure what's available? Use our Interactive Class Schedule to browse our semester schedule.

How many classes do you wish to take this semester?*

Class One CRN*

Please enter the CRN of your first class.

Class Title*

Select

Class 2 CRN*

Please enter the CRN of your second class.

Class Title*

Select

Class 3 CRN*

Please enter the CRN of your third class.

Class Title*

Select

PLEASE NOTE:

If we are unable to register you in your requested classes, you may be prompted to submit this form again with new classes selected.

Please Read: Math with Support

You have selected one or more Math with Support classes. Please note: high school students may ONLY enroll in a Math with Support (MTH-S) class with express permission from both a high school counselor and a parent/guardian. After submitting this form, both your counselor and parent/guardian will be prompted to provide approval for your math with support class.

Math with Support classes are typically 5 credit hours: 3 credit hours count toward a degree, while 2 credit hours are developmental. These 2 developmental education credits do NOT count toward a degree, but do cost money.

Taking MTH-S classes can potentially impact your financial aid awards and /or progress-toward-degree calculations when attending college after high school.

Authorization to Participate in STLCC's Dual Enrollment Program

Each Dual Enrollment student and their parent/guardian must review the information below and sign indicating they understand and accept responsibility for the decision to enroll.

The student must adhere to all college policies and deadlines as outlined in the college catalog and student code of conduct. Violations of the code of conduct will result in disciplinary action as outlined by the STLCC discipline process. Parents/Guardians are responsible for any student supervision required when the student is on campus but not in class. Visit stlcc.edu/policies to review STLCC policies.
There could be classroom discussion or materials that the student and/or parent/guardian may not consider age appropriate. If the student or parent/guardian is not comfortable with an assignment or classroom discussion, the faculty member is not required to substitute an alternate activity or grading exercise.
The grade received by the student is part of the student’s permanent post-secondary academic record and may affect the student’s eligibility for future financial aid, college scholarships, and/or freshman/first-time status at other institutions of higher education.
While the student will have equal access to any academic support services offered to the student body, no extraordinary academic measures will be granted the student due to being a dual enrollment student. The faculty member may provide standard updates on academic progress directly to the student. This may include graded homework, graded test papers, etc. In a college environment, attendance is not reported, and faculty members do not provide written or personal/telephone summaries throughout the semester.
To withdraw from a class, the student must complete and submit a Drop/Add Form to the Admissions and Enrollment Services office at their STLCC campus by the published withdrawal deadline for the semester. Failure to officially withdraw from STLCC may result in an “F” on the student’s permanent college transcript. Visit stlcc.edu/calendar for important date and deadlines.
It is the student’s responsibility to check their class schedule in Banner Self-Service to be sure they are registered for the desired STLCC classes. In addition, it is the student’s responsibility to establish and check their MySTLCC email account.
When the cost of tuition, fees, and/or materials is not covered by their school district, the student and parent/guardian agree to pay all tuition and fees that apply to the courses by the payment due date. In addition, the student and parent/guardian agree to pay any late payment and collection fees if necessary. Parents should consult with their school district liaison for questions about payment. Visit stlcc.edu/paymentdate for more details.

I have reviewed the above authorization. I acknowledge the responsibilities and limitations as outlined.*

Consent to Release Information

In addition to the information above, I consent to the following:

In accordance with the Family Educational Rights and Privacy Act of 1974 (FERPA) and to facilitate an open working relationship among students, the sponsoring school district, and the STLCC dual enrollment program, STLCC agrees to release student educational records as specified below.

I give permission for the following educational records to be released:

All academic/transcript records (transcripts, enrollment and schedule, assessment data)
Instructor/classroom records (attendance, progress reports, final grades)
Student account records (tuition and fees, financial aid and scholarship information, fines, etc.)
Behavior and conduct records

The persons and entities to receive the information specified above are:

Parent/Guardian
High School Counselor
High School Registrar

Additionally, due to my Access Point enrollment, the above records can be shared with:

Access Point Core Team

Additionally, due to my St. Louis Internship Program enrollment, the above records can be shared with:

St. Louis Internship Program director

I have reviewed the above information release. I acknowledge the responsibilities and limitations as outlined.*

Parent/Guardian Name*

Please enter the name of the parent/guardian to whom we can release information.

Parent/Guardian Email*

Your parent/guardian will be required to approve your class registration request before you are registered in courses.

Parent/Guardian Phone*

Please provide a phone number for your parent/guardian.

Phone

Send me a copy of my responses

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