DCC Early Admit/Bridge Application

High school juniors and seniors are invited to get a head start on college by taking courses on our DCC campus. We offer the following options:

Part-Time Early Admit Program	Full-Time Bridge Program
Open to high school juniors and seniors to supplement their high school experience. Students can take up to 11 credits.	Open to high school seniors who wish to take their entire senior year coursework at DCC. Courses taken at DCC are applied to high school graduation.

Steps to Apply:

Discuss the above options, as well as which courses you wish to take, with your parent/guardian and school counselor to determine your best plan of action.
Look up your school counselor email address as this will be a required field on this application. Once submitted, an email will be sent to your high school counselor requesting their official approval for you to take the course(s) and an official transcript.
Submit the application below with a parent/guardian. This application must be completed each semester the student wishes to take classes while enrolled in high school.

I am applying for:

Part-time: 1-11 credits per semester

Full-time: 12+ credits per semester

Semester planning to attend:

Personal Information:

First Name (legal name)*

Last Name*

Permanent Address:

Country

Street

City

Region

Postal Code

County of Residence:

Please check the box below if you have lived in New York State for 1 year and have lived in Dutchess County for the last 6 months.

Yes

Is your mailing address different than your permanent address?

Yes

Mailing Address (Street, City, State, Zip Code)

Mobile Phone Number

Please text me with important DCC updates and reminders.

Yes

Home Phone Number

Gender:

Female

Male

Birthdate*

Social Security Number (skip if you do not have an SSN):

Country of Citizenship:

If you are not a U.S. citizen, are you a permanent resident?

Are you Hispanic/Latino?

Yes

If Hispanic/Latino, what is your background (select one)?:

What is your race (select one or more)?

Is English your first (native) language:

Yes

If no, what is your first (native) language?

Personal Email Address (gmail, yahoo, etc.)*

Academic Information:

Full-time Bridge applicants are not guaranteed admission to the college. Decisions to accept or deny a high school student as a full-time Bridge student will be based on:
- Review of the applicant’s high school transcript which should have at least an 85 high school average.
- Students ability to place into college level English.
- Recommendation of the high school guidance counselor with confirmation that all but their senior-year requirements have been met.

Please list the course(s) you would like to take at DCC this semester. Please do not include special characters (i.e. #,&,@, etc) :

Full-Time students typically take English 101, English 102, Government 121, Economics 105, and either Physical Education or Wellness and Fitness to meet high school graduation requirements. In addition, you will be able to select some additional courses of interest. Please understand that the high school has the final approval when it comes to high school graduation requirements.

How to look up classes (fall schedule available in March; spring schedule available in October; summer schedule available in February):
On the bottom of our home page (www.sunydutchess.edu), click on the List of Classes link. In the dropdown box select the term for which you are planning to attend. Then select the subject and class search at the bottom. To determine if seats are available, click on the title of the class. Beneath the course description you will find information on the method of instruction. View Catalog to determine prerequisites.

Course 1

Course 2 (if applicable)

Course 3 (if applicable)

Course 4 (if applicable)

Course 5 (if applicable)

High School (Home School) Information:
(Type school name and town/city and select from drop-down list)
If you are home schooled and live in NYS, type Home School (NYS Resident).

Most recent grade level completed:

10th

11th

Name of your school counselor (parent if home schooled):

Email address of your school counselor (parent if home schooled):
An automated email will be sent to your counselor for approval.

Digital Signatures:

As an Early Admission/Bridge student, I agree to the following:

1. I am responsible for ensuring that the courses I take at Dutchess Community College will fulfill my high school graduation requirements. I realize I must have the prerequisite knowledge for any course I begin. This may include placement testing to begin ENG 101 or a given math course.

2. I am responsible for attending classes, completing required work and taking the initiative to seek assistance if needed. I understand that the college is not responsible for monitoring my attendance or completion of course work.

3. I agree to authorize the college to send my Schedule, Mid-Term and Final Grades to my school. I also give my school counselor permission to send my high school transcript to DCC for review.

4. I certify that my address information provided is current and accurate and understand that it may be used to determine in-state tuition eligibility.

5. I certify that Information that I have reported on this application is complete and factually correct and understand that knowingly providing false information may be cause for denying or withdrawing an offer of admission

(Please type your first and last name):

Parent/Guardian Signature:

By typing my name below, I give my student permission to take the courses listed above.

(Please type your first and last name):

Date: