Maryville College Fall 2022 Highlander Dual Enrollment Application

**If you are currently Dual Enrolled at Maryville College, or were previously, please visit your MVP Portal to complete this form.**

Thank you for your interest in Dual Enrollment courses at Maryville College. We are excited for you to experience MC as you complete your high school career. Below you will find our 2022 application for Dual Enrollment. If you have any questions about this application process, please do not hesitate to reach out to us and we will be happy to assist you!

I confirm that I am applying for Dual Enrollment at Maryville College for the Fall 2022 term.*

Yes

If you are interested in Dual Enrollment for any other term besides Fall 2022, please do not proceed. This application only applies to the Fall 2022 term.

Student Information

First Name*

Middle Name*

Last Name*

Preferred Name*

Email Address*

Alternate Email Address (if available)

Mobile Phone Number*

Birthdate*

Social Security Number (omit dashes)

Mailing Address*

Country

Street

City

Region

Postal Code

Parent/Guardian Information

Parent 1 First Name

Parent 1 Last Name

Relationship Type

Parent 1 Email Address

Is this parent's address different from yours?

Yes

Parent 1 Mailing Address *If different than one listed

Country

Street

City

Region

Postal Code

Parent 2 First Name

Parent 2 Last Name

Relationship Type

Parent 2 Email Address

Is this parent's address different from yours?

Yes

Parent 2 Mailing Address *If different than one listed

Country

Street

City

Region

Postal Code

School and Planned Entrance Information

High School Name*

High School GPA

Highest Composite ACT and/or SAT score

Expected High School Graduation Year*

MaryVille Portal - MVP!

Maryville College Fall 2022 Highlander Dual Enrollment Application

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