High School UMKC Dual Enrollment Application

This application is for high school students who wish to enroll in a class on the UMKC campus not through the UMKC Early College Academy program. If you are trying to enroll in a course that will be offered at your high school, please complete the DHS online application.

If you enroll in on campus classes via this form, you will be assessed standard tuition and fees according to your residency.

Personal Information

Email Address

First Name

Middle Name

Last Name

Phone

Birthdate

Sex

Female

Male

A sex not listed here

Country of Citizenship

Are you a Permanent Resident of the United States?

Yes

What is your current status?

What is your state of residency?

When did you become a resident of that state?

Address

Mailing Address

Country

Street

City

Region

Postal Code

Permanent Address

Same as Mailing Address

Country

Street

City

Region

Postal Code

Required Information

Please acknowledge: I plan to take my course on the UMKC Campus, not through my high school.

Yes

This application is for high school students who wish to enroll in a class on the UMKC campus. If you are trying to enroll in a course that will be offered at your high school, please complete the online application.

When do you want to enroll in this class?

What course do you plan to enroll in at UMKC?

What is the course number?

ACT Composite Score

ACT Test Date

School Name

When did you start at this high school?

When will you graduate from high school?

Class Size

Your Rank

School GPA

Disciplinary and Criminal History

An affirmative response to these questions will not automatically prevent admission but you will be asked to provide additional information. The information will be reviewed by a campus administrator or committee tasked with that responsibility. Falsification or omission of information may result in a denial of admission, rescission of admission, dismissal, or other appropriate sanction.

Have you ever been suspended, dismissed, expelled, or subject to any disciplinary action for any reason (including academic dishonesty) from a high school, a college, a university, or other post-secondary educational institution?

Yes

If yes, please explain:

Institution Name

Incident Date

Academic Plan (Hidden)

University of Missouri-Kansas city

High School UMKC Dual Enrollment Application