2025 Dual Enrollment Graduate - FCC Enrollment Form

This form is for 2025 high school graduating dual enrolled students intending to continue at Frederick Community College as an undergraduate student.

Complete this form if you have or will meet the following criteria:

High School Class of 2025
Dual Enrolled at Frederick Community College
Have not completed an application for undergrad at FCC (this is different from the Dual Enrollment FCC application)

Student Information

FCC ID

Legal First Name

Preferred Name

Legal Middle Name

Legal Last Name

Student's Personal Email

Student's Mobile Phone

Birthdate

Social Security Number
Enter your full SSN (omit dashes)

Physical Street Address

Country

Street

City

Region

Postal Code

How many months have you lived at your current address?

High School

Enter the Name and Graduation Year of the High School you attended/will graduate from.

High School

Graduation Year

Program Declaration

Term

2025 Summer

2025 Fall

Select a Program

Degree/Major

Certificate

Course of Interest

Select a Degree/Major

Select a Certificate

Course of Interest

Course of Interest Type

Validation Statement

I certify that the information I have provided on this form is complete and accurate. I understand that failure to provide accurate information, particularly regarding residency, may be grounds for denial of admission, dismissal from the college, and/or retroactive adjustment of tuition and fees. I agree to provide evidence of the information on this application upon request. I understand it is my responsibility to notify the Admissions Office located in Jefferson Hall of any changes in the information contained in this form.

I accept and agree to abide by the policies and regulations of Frederick Community College, including those concerning drug and alcohol abuse, weapons on campus, student conduct, classroom behavior, discrimination, grievance, and other policies and procedures. I understand that not abiding by these policies and procedures will subject me to the penalties stated within. See www.frederick.edu for student polices and procedures.

Frederick Community College prohibits discrimination against any person on the basis of age, ancestry, citizenship status, color, creed, ethnicity, gender identity and expression, genetic information, marital status, mental or physical disability, national origin, race, religious affiliation, sex, sexual orientation, or veteran status in it activities, educational programs, and employment.

In place of your signature, please type your full legal name: