Gender
Month/ Day/ Year (xx/xx/xxxx)
Have you completed an NSCC or other college course(s)?
Has either parent graduated form a 4-year college?

Ethinicity information (optional)
Are you Hispanic/Latino?
Please check any that apply


COURSE CHOICES


STUDENT SIGNATURE VERIFICATION (check ALL boxes)

If accepted to the Early College Dual Enrollment Program at North Shore Community College, I agree to adhere to the North Shore Community College code of Student Conduct as outlined in the NSCC Student Handbook found at northshore.smartcatalogiq.com/en/current/Credit-Catalog/Student-Handbook
I hereby authorize the release of my academic and student records by North Shore Community College for legitimate educational purposes.
I understand that if I do not authorize the release of my academic and student records, it is my responsibility to obtain copies of my NSCC / Dual Enrollment academic transcript for my high school records.
I understand that if I withdraw from a course after the official add/drop period, there will be consequences to my academic record.
I certify that all information stated on this application is accurate and complete.
By typing NAME you are verifying this as a signature
 
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