Sara Schenirer Dual Credit Program Registration
In partnership with the College of Mount Saint Vincent
"
*
" indicates required fields
Legal Name
*
First
Middle
Last
Date of Birth
*
MM slash DD slash YYYY
SSN
*
Gender
*
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Male
Female
Current High School
*
Current Grade
*
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9
10
11
12
Mobile Number
*
Home Number
*
Email
*
Alternate Email
Permanent Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
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Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Parent/ Legal Guardian Phone Number
*
Parent/ Legal Guardian Email
*
Check out the top 6 frequently-asked questions about our Dual Credit Program here