Dual Enrollment Fall 2021- Form - Workflow Header Image

New Student Dual Enrollment Form

Fullerton College offers 9-12 grade students an opportunity to enroll in college courses (In compliance with the California Education Code Sections: 48800 - 48802, 76001 and 76300).

What credit is granted?

Courses taken as a Special Admit Student are recorded on the college permanent record as collegiate credit in the same manner as regularly enrolled college students. Credit may be given at the high school and may meet a graduation requirement. The student should consult with the high school counselor.

The AB 288 CCAP Partnership Agreement/Dual Enrollment shall be for students who may not already be college-bound or who are underrepresented in higher education, with the goal of developing seamless pathways from high school to community college for career technical education or preparation for transfer, improving high school graduation rates, or helping high school pupils achieve college and career readiness.

College Policies:

Students must adhere to all college policies on course requirements, attendance and any other applicable policies and procedures including the Student Code of Conduct. Students who enroll in classes other than those approved via this document may be dropped from those classes. Student records are protected under the Family Educational Rights and Privacy Act (FERPA) and the Health Insurance Portability and Accountability Act (HIPAA). No one (including parents and high school officials) may access confidential information without a student’s written permission.

Petition to Enroll as a New FC Dual Enrollment Student

Part I - To be completed by Student & Parent


Student's Name*
Date of Birth*
Address



I would like to take the following course(s):

Since courses are being taught remotely and online feel free to choose a course taught at another high school within your district.


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Student & Parent Signatures


I understand and agree to follow all requirements as a Special Admit Student. I understand I may be dropped from any course for failure to meet program requirements.

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I have reviewed the above and give my consent for my son/daughter named above to participate as a Special Admit Student at Cypress College or Fullerton College as indicated. I understand that I need to provide my son/daughter with a consent form for medical treatment and a copy of my driver’s license for health care service. I understand that my son/daughter’s records cannot be released to me without written consent. The Family Educational Rights and Privacy Act (FERPA) and the Health Insurance Portability and Accountability Act (HIPPA) afford students certain rights with respect to their education records. These rights include the right to inspect and review the student’s education records within 45 days of the day the University receives a request for access. Students should submit to the registrar, dean, head of the academic department, or other appropriate officials, written requests that identify the record(s) they wish to inspect).

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Part II – To be completed by School Principal/Counselor

I approve the student to register for all of the above courses.*
Please Indicate:*
School Board Approval*
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Part III – To be completed by Fullerton College Counseling

I approve the student to register for all of the courses above*
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