Dual Enrollment Application Fall 2025

Dual Enrollment

Set

Unset

DE Entry Term

Dual Enrollment (DE) allows students to earn academic credit at both their secondary school and at Fitchburg State University simultaneously. Students who wish to participate in the DE program for the 2025-2026 academic school year, must submit their application with all required application materials by Friday June 13, 2025.

Completed applications will be reviewed by the Admissions Office. All admissions decisions will be delivered via email the week of July 7, 2025. Please check your email regularly as this is the main form of communication used at the University.

Legal First Name

Chosen First Name

Middle Name

Last Name

Birthdate

Gender

Gender Identity

Is English your native language?

Yes

No

Ethnicity: Are you of Hispanic/Latino origin?

Yes

No

Race (Please check one or more):

Other:

Please enter an email address below that you check regularly and will have access to year round.

Email Address

Phone Number:

Mailing Address

Country

Street

City

Region

Postal Code

High School Attending

Hidden: LVL of Study - set to HS

Graduation Date

What major are you looking to study while in college?

As a part of the Dual Enrollment application process at Fitchburg State University, we will need to collect your Social Security Number for registration purposes. Please enter your 9 digit SSN without dashes.

Have you been approved by your Guidance Counselor to participate in the Dual Enrollment program for the 2025-2026 academic school year at Fitchburg State University?

Yes

No

Have you participated in Dual Enrollment or Early College in the past?

Are you a Massachusetts Resident?

Yes

No

What is the Highest Education Level your parent(s)/guardian(s) have completed:

Do you qualify for the free or reduced Lunch program?

Yes

No

By checking the box below, I agree that I grant Fitchburg State permission to release / copy all materials contained in my Fitchburg State Dual Enrollment file to my school of record. This includes the application, transcript(s), references, test scores and all other relevant documents. I understand that these materials will be used to reflect credits earned at Fitchburg State and used toward graduation at my school of record. I hereby certify that Fitchburg State is the only institution I am applying to for this term, for Dual Enrollment.

Yes I agree

No I disagree

Please provide a Parent / Guardian email for us to send the Dual Enrollment Signature Authorization form to below:

Please provide your school counselors email for us to send the Dual Enrollment Signature Authorization form to below:

Please provide emergency contact information in the event we need to reach out to a parent/guardian

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Phone Number

Parent/Guardian Email Address

Next Steps:

Once you submit this form, there will be follow up communications sent to your high school guidance counselor & your parent / guardian with a Signature Authorization Form that is REQUIRED in order to complete your 2025-2026 Dual Enrollment Application.

Applicants will receive a reminder email if there are still pending application materials in the coming weeks. Once we receive all required application materials, your application will be ready to be reviewed. All admissions decisions are to be released the week of July 7, 2025.

If either your high school guidance counselor or parent / guardian did not receive the Signature Authorization Forms within 2 business days. Please let me know as soon as possible. Please check spam and junk folders as well.

If you have any questions regarding the Dual Enrollment Program, please contact program coordinator, Gretchen Mayhew at gmayhew@fitchburgstate.edu or 978-665-4629.