Dual Credit Program Application

Course Information

High School

(Other) High School Name

(C) = At BPS Career Academy
(O) = Online
(S) = At High School

Student Information

First Name

Middle Name

Last Name

Personal Email Address (non-school issued)

Mobile Phone Number

Home Phone Number

Birthdate

Social Security Number (omit dashes/spaces)

Current Mailing Address

Country

Street

City

Region

Postal Code

Anticipated High School Graduation Year

Anticipated College Start Term (optional)

Anticipated College Major (optional)

Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Middle Name

Parent/Guardian Last Name

Parent/Guardian Relationship

Parent/Guardian Email

Parent/Guardian Phone

Parent/Guardian Address

Same as Current Mailing Address

Country

Street

City

Region

Postal Code

Demographic Information

You are not required to provide demographic information. It is used exclusively in compiling institutional federal/state data and is NOT a factor in admissions decisions.

Religion

Gender

Hispanic/Latino

Race

Consent

I certify that all the answers I have given in this application are complete and accurate to the best of my knowledge and, if admitted, I agree to observe the University of Mary honor code and MCard terms and conditions.

I also wish to grant permission to share my University of Mary financial and academic records with the appropriate high school officials. This is to enable schools to view my academic progress in the training program, including my grades and UMary transcript. I understand that sharing this information is voluntary, and that I can revoke this permission at any future time by submitting an updated FERPA Student Authorization Release form, available on my.umary.edu. View your full FERPA rights online in the UMary Catalog.

Type Full Legal Name of Student (in lieu of signature)

Round* (HS App 2025-26)

Round* (HS App 2024-25)

Round* (HS App 2023-24)

Location (Other Location Off Campus; filter by class offered via Canvas)

Location (Main Campus; filter by class NOT offered via Canvas)

Texting Opt In

Generate PIN

Submitted Flag

Round Always Created

Learning Category (Online, Evening, or Other Location)

Learning Category (Main Campus Bismarck)

Student Type

Major

NDS Discipline

Subterm

High School Level of Study

Split CEEB (hidden)

Split School (hidden)

High School

High School (Other)

High School CEEB Code

High School Priority

High School Graduation Date (year only)

UMary School Name (2)

UMary School CEEB Code (2)

UMary School Level of Study (2)

UMary School Priority (2)

UMary School Degree (2)

Inquiry Student Type

Inquiry Location

Inquiry Subterm