Grace Christian Dual Enrollment Registration Application for Admission as a Dual Enrolled Student Application for Admission as a Dual Enrolled Student A Dual Enrolled student is a student who is currently in high school and wishes to take classes at Grace Christian University for high school and college credit. If a dual enrolled student wishes to enroll after high school to pursue a degree with Grace Christian University, a formal application must be completed and the student accepted as a degree seeking student. If you are human, leave this field blank. Personal Information Please enter your full, legal name as it appears on your birth certificate or state-issued ID. Do not use any alternate spellings or nicknames, since your application will create your permanent university record. Last Name * First Name * Middle Initial Suffix Address * City * State * AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip * SSN Enter your United States Social Security Number (if one has been assigned). Providing a Social Security Number is voluntary, however, it will assist us in matching test scores and transcripts with your admission application and facilitate the administrative process if you are admitted. This information will be used only as a highly confidential, personal identifier for statutory reporting purposes. If you do not have a valid Social Security Number or do not wish to report it, please leave this field blank. Entering an invalid number will delay your application processing. Birthdate * (MM/DD/YYYY) Ethnicity * American Indian or Alaskan Native Asian Black/Non-Hispanic Origin White/Non-Hispanic Origin Hispanic/Latino Native Hawaiian or Pacific Islander Multiracial/Parent of different races Prefer to not respond Gender * Male Female Marital Status * Single Married Name of Home Church What are the main factors in your decision to dual enroll at Grace Christian University? Contact Information Primary Phone * May we text? Yes No Preferred Phone Number * Home Cell Email * please use high school email Where do you plan to take your dual enrollment class? High School * Grace On-Campus Calvary Christian High School Calvin Christian Harbor Light Heritage Christian Academy North Pointe Christian Plymouth Christian Academy Potter's House South Christian Tri-Unity Western Michigan Christian Zion Christian Other Year of Graduation * 2030 2029 2028 2027 2026 2025 2024 Have you taken any previous college classes, Advanced Placement (AP), or CLEP tests? If yes, please list. * Yes No Parental Information Parent/Guardian Title Last Name * First Name * Middle Address * City * State * AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip * Phone * Email address * Has attended Grace Christian University? Yes No Years * 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 New Option New Option New Option Maiden/Previous Name Agreement This minor student and his/her parent(s) or legal guardian(s) have reviewed Grace’s On Campus Catalog on the Grace website and understand that these rules and regulations are to be followed at all times while conducting business with the University. Students taking courses on campus should also review the Student Handbook. Grace provides an adult, independent, collegiate learning environment primarily tailored to meet the needs of adult students and is committed to providing a safe environment for all students. However, each individual must be responsible for his/her own safety. The student and PARENT/LEGAL GUARDIAN understand and acknowledge that Grace instructors teach from a biblical worldview, but course textbooks/resources and other students may not share that worldview. Minor students will likely be exposed to differing worldviews from course resources and fellow students. Grace instructors bear no responsibility for underage students outside of the classroom. If attending courses at any Grace campus or site, parents are responsible for the students before and after class. Campuses are open and parents are responsible for the supervision of minors outside of the classroom. Students under the age of 13 are prohibited by the Children’s Online Privacy Protection Rule (COPPA) from sharing personal information online without parental consent. Students are responsible for tuition, books, and other associated fees. **Exception: when another party is responsible, such as a school district or the State of Michigan.** Courses will be more academically challenging than traditional high school courses. Online courses are provided in an accelerated 5-week course format equivalent to a standard 14-week On-Campus course. The minor student may be exposed to discussions, readings and visual material of a mature nature and will be expected to conform to the same performance standards as any other college student as set forth in the course outlines and syllabi. All policies regarding grading, class attendance, registration deadlines, payments on account and college policies and procedures apply regardless of the student’s age. The student is able to interact socially with adult college students, faculty and staff and that the college is not responsible for these interactions. The student is responsible to communicate with the instructor if there are any questions or concerns. Students are responsible for seeking assistance for any special needs they have, such as disability services or tutoring. If the student is under 13 years of age, the PARENT/LEGAL GUARDIAN has reviewed the University’s Privacy Policy and hereby grants permission for the student to share personal information required of all students via Grace Christian University’s website, student portal, learning management system, and any other online platform used by Grace during the student’s enrollment. The parties involved have been informed that the terms and conditions in the aforementioned agreement will apply for every semester that the student is enrolled, as long as the student remains under the age of 18. Signature(s) Statement of Financial Responsibilities: All arrangements for Dual Enrollment tuition payments must be finalized before classes begin. If you are taking classes through your high school, your school will provide you with the necessary documents. Payment plans are available for those taking classes on campus. Please contact the Grace Business Office to make arrangements. If payment is being made by the State of Michigan, proper documents of dual enrollment eligibility need to be on file prior to the start of class. If documents are not on file and payment cannot be received from the State, then the payment for the class(es) will be the responsibility of the student and the parent(s). I understand and agree to these financial requirements. I also agree to allow my academic information to be shared with my high school administration (if appropriate) and my parents so long as I am attending Grace Christian University as a Dual Enrollment student. By signing below, the student and parent/guardian hereby agree to be bound to all terms and conditions stated within the aforementioned agreement. Student Signature * Clear Date * Parent Signature * Clear Date * Submit
