Concurrent Enrollment FormLoading...PermissionPermissionParentStarIDFirst NameLast NameBirthdateBirthdateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember123456789101112131415161718192021222324252627282930312026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Personal Email Address (please do not use your High School email)Mobile Phone Number (for text alerts)SemesterFall 2025Spring 2026High SchoolBuffalo High SchoolChamplin High SchoolHopkins High SchoolOrono High SchoolOsseo High SchoolSt. Louis Park High SchoolWayzata High SchoolConcurrent courses that you plan to register for:Concurrent courses that you plan to register for:ART 2901BUS 1100BUS 1440BUS 2200COMM 1010FYE 1020HIST 1010HIST 1200SOC 1110Student ApprovalRead through each item below. By checking off the box you agree to the statement.College Level ClassCollege Level ClassI am enrolled in a college-level class that will require rigorous academic work. This class demands responsibility and maturity equal to that of a college-level student.College Level GradingCollege Level GradingI will be graded on a college-level grading standard. Signing off on this page indicates the decision to receive an NHCC grade for a concurrent enrollment class.My Responsibility to Apply and EnrollMy Responsibility to Apply and EnrollIt is my responsibility to apply to the college and register for the class in order to receive college credits for this class. I need to check in on eServices to confirm that I am enrolled in the class.My Responsibility to Officially DropMy Responsibility to Officially DropI am responsible for dropping my class in the event I cannot finish. If I fail to do so, I will receive a failing grade.Student Handbook I have reviewed the NHCC concurrent enrollment student handbook. Student Handbook I have reviewed the NHCC concurrent enrollment student handbook. I understand the benefits and implications of taking this concurrent enrollment course and I am aware of campus resources at NHCC that are available to me as a student.Orientation Video View the concurrent enrollment orientation video. Orientation Video View the concurrent enrollment orientation video. I have watched the concurrent enrollment orientation video.Questions About DroppingQuestions About DroppingI will talk to my teacher, high school counselor, or my NHCC contact if I have any questions about dropping or withdrawing from this class.Student SignatureMy e-signature is my legally binding signature, per Minnesota Statutes, section 325L.07.My e-signature is my legally binding signature, per Minnesota Statutes, section 325L.07.I affirm under penalty of perjury that I have carefully read and understand each of the above statements, agree to all terms and conditions as stated, and that all of the information I provided on this form is true.Student SignatureClick to Sign...Parent/Guardian PermissionParent First NameParent Last NameParent EmailYour student has agreed to the following statements.College Level ClassCollege Level ClassI am enrolled in a college-level class that will require rigorous academic work. This class demands responsibility and maturity equal to that of a college-level student.College Level GradingCollege Level GradingI will be graded on a college-level grading standard. Signing off on this page indicates the decision to receive an NHCC grade for a concurrent enrollment class.My Responsibility to Apply & EnrollMy Responsibility to Apply & EnrollIt is my responsibility to apply to the college and register for the class in order to receive college credits for this class. I need to check in on eServices to confirm that I am enrolled in the class.My Responsibility to Officially DropMy Responsibility to Officially DropI am responsible for dropping my class in the event I cannot finish. If I fail to do so, I will receive a failing grade.Student Handbook I have reviewed the NHCC concurrent enrollment student handbook. Student Handbook I have reviewed the NHCC concurrent enrollment student handbook. I understand the benefits and implications of taking this concurrent enrollment course and I am aware of campus resources at NHCC that are available to me as a student.Orientation Video View the concurrent enrollment orientation video. Orientation Video View the concurrent enrollment orientation video. I have watched the concurrent enrollment orientation video.Questions About DroppingQuestions About DroppingI will talk to my teacher, high school counselor, or my NHCC contact if I have any questions about dropping or withdrawing from this class.Parent/Guardian SignatureAs the student's legal parent/guardian, I authorize the enrollment of the above student in the postsecondary course through the high school's concurrent enrollment program. I understand that submission of this form indicates a decision to have an NHCC grade issued for the course.First NameLast NameMy e-signature is my legally binding signature, per Minnesota Statutes, section 325L.07.My e-signature is my legally binding signature, per Minnesota Statutes, section 325L.07.I affirm under penalty of perjury that I have carefully read and understand each of the above statements, agree to all terms and conditions as stated, and that all of the information I provided on this form is true.Parent SignatureClick to Sign...Submit
