Admissions santarosa high-school-dualHigh School Dual Enrollment Request FormAdmissions 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with SECTION 1: Biographic Information. Fill in your Last Name, First Name, Middle Initial, Gender, and Date of Birth. Ensure your Home Address is complete, including Street 1, Street 2 (if applicable), City/State, and ZIP code.
3. Provide your Student Email Address and Parent Email Address. Check the box to agree to email communication from Penn State. Lastly, enter your permanent Phone Number and Emergency Contact details.
4. Move to SECTION 2: Educational Background and Goals. Indicate your Current High School and whether you have previously enrolled at Penn State. Select your Grade-level and desired semester for enrollment.
5. In SECTION 3: Ethnic Background, respond to the ethnicity question and select your race from the provided options.
6. For SECTION 4: Residency Status, confirm if you are a U.S. citizen and provide details about your residency in Pennsylvania.
7. Review SECTION 5: Contract of Understanding carefully before signing in SECTION 6. Both student and parent/guardian must affirm the accuracy of the information provided by signing and dating the form.

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