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    Dual Enrollment Application

    Name
    Address
    Mailing Address
    Mailing Address
    Contact Information
    Biographical Information
    Birthdate
    Birthdate
    Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:                                                                                                                                                       
    Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:                                                                                                                                                       
    Select Your School
    Pursuant to my rights under the Family Educations Rights and Privacy Act (FERPA), I consent to have my Texas Wesleyan University academic record released to the high school for the purpose of applying the credit(s) and grade(s). I further consent to authorize the release of my Texas Wesleyan University academic record to my parent(s) or legal guardian(s).

    I certify that the information in this application is correct, complete, and honestly represented. I further authorize university officials to verify all information provided, and understand that the submission of false information is grounds for a denial of admission, withdrawal of any academic or financial aid offer, expulsion from the University, and revocation of any awarded credential.