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Early-Entry Student Enrollment Request Form

Early-entry courses are taught by a Chadron State College faculty member either in a CSC classroom or online via CSC's online course portal. To request enrollment, please complete the following form in the presence of your counselor or principal.

PLEASE NOTE: Early Entry courses are billed at the current and standard on-campus or online course rate. There is no discount.

If this is your first time enrolling at CSC, you must first apply for admission. Click this link: Early Entry Application to apply.
If you have previously taken courses (as either Early Entry OR Dual Enrollment) please do not re-apply--you simply need to complete this form.








To be completed by the High School Counselor/Principal:



I certify this student has met at least one of the following requirements to enroll in dual-credit course work.
  • Student had attained a GPA of at least 3.0 (on a 4.0 scale) OR
  • Student earned an ACT composite score of 20 or equivalent score on another standardized test OR
  • Student earned an ACT sub-score of at least 20 or equivalent on another standardized test OR
  • Student ranks in the upper 1/2 of their high school class.




Course(s) Selection

Course # Course Name Credit Hours
Term you wish to take the courses listed above (if requesting enrollment for multiple terms, please complete a request form for each term)
You are qualified for and have applied for the ACE scholarship?

DISCLAIMER:

By submitting this form, you agree to and understand the following:

You have the permission of your parent/guardian to enroll in Early-Entry coursework at Chadron State and have the appropriate academic requirements as certified by your Counselor/Principal above.

You understand you and/or your parent/guardian will be required to make payment to the CSC Business Office by the appropriate payment deadline for term or session for which you are enrolled, as stated here: http://www.csc.edu/businessoffice/billing.csc. Payment can be made via your MyCSC account online or by mailing a check to the CSC Business Office. Failure to address your balance by the appropriate deadline will result in a late payment fee and other financial repercussions.

You understand and agree you/your parent are fully financially responsible for the full payment of your bill if you are not eligible for/granted an ACE scholarship by CCPE.


I agree and understand the above stated policies and all other policies associated with Early-Entry enrollment at Chadron State College.

I agree and understand that by submitting this form, I will be enrolled in the courses requested above by CSC personnel and notified via my EagleMail account.





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