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Dual Enrollment/Early Admission Application for Admission

Office of Dual Enrollment · 325 NW Turner Davis Drive · Madison, FL 32340 · 850-973-1628 · nfc.edu · dualenrollment@nfc.edu · https://www.nfc.edu/academics/dual-enrollment/index.php
Student Citizenship/Lawful Presence Attestation and Authorization

By submitting this application for Dual Enrollment admission, I, the student applicant, attest that I am a citizen of the United States or am lawfully present in the United States. I understand that documentation verifying my citizenship or lawful presence must be provided and verified prior to enrollment.

I further authorize the official records custodian of my high school, school district, or their designee to release to North Florida College copies of records maintained by the school or district that verify my citizenship or lawful presence, including, but not limited to, a birth certificate or other acceptable documentation previously submitted as part of my enrollment records.

This attestation and authorization are provided for the purpose of determining my eligibility for admission and enrollment in accordance with Rule 6A-10.0240, Florida Administrative Code, Section 1001.64, Florida Statutes, and applicable policies of North Florida College.

Emergency Contact

Parent/Guardian Information

Application Agreement

I, the student, agree to enroll in the Dual Enrollment/Early Admission Program at North Florida College. I believe I will be successful in college-level courses based on the high school academic record and overall maturity level. I agree that I will abide by all rules and regulations of the Dual Enrollment Program, as well as the College policies and procedures while attending North Florida College. I understand all college grades become a permanent part of my college record and I agree to the College’s release of information concerning any awards or academic honors I might receive. Furthermore, I understand that dual enrollment students interact with college students and course materials or class discussions may reflect topics not typically included in the secondary courses which some parents may object to for minors. I acknowledge that courses will not be modified to accommodate variations in student age and/or maturity.

I, the student, authorize North Florida College to release or request electronically my transcripts and placement scores to or from a Florida college or university. I certify that all the information submitted in this application is accurate and complete, and I understand that to make false or fraudulent statements within this application may result in disciplinary action, denial of admission, and invalidation of credits or degrees earned. I certify that I will abide by all the regulations of North Florida College and the laws of the State of Florida. My electronic signature gives permission to share my educational records with my instructors, high school officials, and parent(s)/guardian(s).
Student's Legal Name
10/30/2026

Important

Collection of Student Social Security Numbers Statement
In compliance with Florida Statute (F.S.) 119.071(5)(a), North Florida College (NFC) issues this notification regarding the purpose for the collection and use of your Social Security Number (SSN). In addition, 119.071(2) (a)(II), F.S., authorizes NFC to collect and use your SSN to perform the College's duties and responsibilities for the following purposes: student record management; identification and verification; tracking (also authorized by 1008.386, F.S.); VA benefits (also mandated by 38 USC 3471); and reporting to authorized agencies of the state and federal government (also authorized by 26 USC 6050S). To protect your identity, NFC will maintain the privacy of your SSN and never release it to unauthorized parties. The College assigns you a unique student identification number which is used for educational purposes at NFC, including access of your college records.
Confidentiality of Student Records
The Family Rights and Privacy Act of 1974 provides that "Directory Information" may be released to the general public upon request unless the student has specially requested in writing that some or all of the information not be released. A form is available upon request from the office of the Registrar.
Student Disabilities Statement
Any student with a disability who wants to request accommodations, assistance, or information should contact Student Disability Services at (850) 973-9403 or (850) 973-1611 (TTY).
College Credit
Poor performance as a dual enrolled student can ultimately impact one’s postsecondary career, including acceptance to a state university, academic standing, and financial aid eligibility. Dual enrollment courses become part of a student’s permanent college transcript and are calculated into the student’s permanent postsecondary GPA.

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