TEMPLE COLLEGE
DUAL CREDIT

Dual Credit Registration Form

Complete this form to register for dual credit courses at Temple College.

Fields marked with (and noted "required") are needed to process your registration. You can fill this form on screen and print a completed copy, or print it blank to complete by hand.

Semester

Enter the year for each term you are registering for (for example, 26 for 2026).

Fall 20

Spring 20

Summer 20

Student information

Name

TC ID number

Graduation year

Home address

Phone

Date of birth

High school

Grade

TSDS number

Parent education

Highest level of education for parent 1

Highest level of education for parent 2

High school endorsement

Select all that apply.

Course selection

List the courses you are registering for under the appropriate term.

Fall courses
Discipline	Course #	Section #	Date/Time	Location

Spring courses
Discipline	Course #	Section #	Date/Time	Location

Summer courses
Discipline	Course #	Section #	Date/Time	Location

Student acknowledgment

I acknowledge my enrollment in the above-listed class(es).

Student's signature

Note: Typing your name above records your acknowledgment. Depending on your high school's policy, a handwritten signature on the printed form may also be required.

High school counselor/principal authorization

To be completed by the high school counselor or principal.

I verify that the student above is TSI complete in:

Reading

Writing

Math

Working on TSI requirements and meeting the prerequisites for the courses listed above. The student has my permission to enroll with Temple College for the above-listed semester.

The student will take the course for college credit only and will not receive high school credit.

HS counselor/principal signature

Date