Homeschool Dual Enrollment Application SP 2026

Homeschool Students:
Dual Credit Application

(Submit this form only once. Email denrollm@marymount.edu for assistance)

Biographical & Contact Information

First Name

Middle Name:

Last Name

Preferred First Name

Birthdate

Sex

Social Security Number (optional, but highly encouraged for tax credit purposes)

Email Address

Cell Phone Number

Primary Citizenship

Mailing Address

Country

Street

City

Region

Postal Code

The following information is optional and is requested solely for use on federal and state reports as well as institutional research. Supplied information will not be used to determine eligibility, nor will it be used in a discriminatory manner.

Are you Hispanic or Latino?

Yes

Please select one or more of the following races:

School & Course Information

High School Graduation Year (YYYY)

What academic program is of interest to you? (Other than Dual Enrollment)

Academic Record

Could you provide any academic records available to show courses taken, grades earned, and currently enrolled courses?

Would you like to connect with a Marymount University admission counselor to learn more about what it is like attending Marymount?

Yes

Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Phone Number

HS Grade Level