Dual Enrollment Application - Education Department

Thank you for your interest in the Dual Credit Enrollment Program at Holy Cross College! Please provide the following information to complete your application to Holy Cross College.

*Required Field

Student Information

Email Address*

Confirm Email Address*

First Name*

Middle Name

Last Name*

Suffix

Preferred First Name

Birthdate*

Student Contact Information

Home Phone

Cell Phone

Do you give Holy Cross College permission to send text messages to this phone number?*

Yes

Mailing Address*

Country

Street

City

Region

Postal Code

Demographic Information

These questions, while helpful to Holy Cross College, are entirely optional, and you're welcome to submit without answering them. If fields are pre-populated, you have provided these answers on a previous form and you have the opportunity to update your responses here.

Gender

Country of Citizenship

With which religion do you identify?

Are you Hispanic or Latino?

Regardless of your answer to the prior question, please indicate how you identify yourself. (Select one or more)

Parent 1 Contact Information

Relationship to Student*

Prefix

First Name*

Last Name*

Suffix

Phone*

Parent 1 Email Address*

Parent 2 Contact Information (optional)

Relationship to Student

Prefix

First Name

Last Name

Suffix

Phone

Email Address

High School Information

In which year will you graduate high school?

High School Name

High School CEEB