Dual Enrollment Registration Form - for High School Students

Welcome to the free online application for students wishing to take course(s) at Bay Path University or Cambridge College at Bay Path University without pursuing a certificate or degree program. If you are looking to pursue a certificate or degree program please visit our website and click the Request Info button top right.

Thank you!

PERSONAL CONTACT INFORMATION

Legal First Name:

(as it appears on your government-issued ID)

Legal Middle Name:

(as it appears on your government-issued ID)

Legal Last Name:

(as it appears on your government-issued ID)

What is your citizenship status?

US CitizenUS Permanent ResidentInternational Non-Resident

Home Street Address:

City:

State:

Zip Code:

Mobile Phone Number:

Email:

Do you have a U.S. Social Security Number?

U.S. Social Security Number:

The Privacy Act Notice, Section 6109 of the Internal Revenue Code requires you to give your correct SSN to persons who must file information returns with the IRS to report certain information. The IRS uses SSN's for identification purposes and to verify the accuracy of tax returns. (If you are an international student, please enter 888-88-8888)

Emergency Contact - if you are under 18 years old, please print out the completed form and ask your parent/guardian to sign

Are you under 18 years old

YesNo

Parent/Guardian Name:

Parent/Guardian Mobile Phone Number:

Parent/Guardian Email:

Parent/Guardian Signature:

Emergency Contact

Contact Information for Emergency Contact - please enter a cell number and an email address

TELL US ABOUT YOURSELF

Date of Birth:

Format: mm/dd/yyyy

Ethnic Origin:

Employer Name

Have either of your parents/guardians obtained a 4-year undergraduate college degree (bachelor's)? Your response helps in our reporting and program development for first generation college students.

ACADEMIC INFORMATION

Which modality of study are you interested in?

Please list the course name, code, title, and total credits of the course(s) you wish to take e.g. CBY101, Introduction to Cybersecurity, 3 credits. Registration cannot proceed if there is a RESTRICTION or HOLD on your account.

In which session would you like to enroll?

Have you previously applied, attended, or worked at Bay Path University or Cambridge College?

YesNo

Have you taken, or plan to take, any AP Courses?

YesNo

Please list the AP Courses?

Name of the High School you attend:

Please begin typing in the name of the school and then choose the correct school from the auto-fill options.

Date of Expected Graduation

Format: mm/dd/yyyy

You are almost finished with the application! If you have any additional comments or questions for our Registrar team, please share them here:

By submitting this form/application, I confirm that the information I have provided is accurate and complete. By providing a telephone number and submitting this form, I agree that Bay Path University may contact me regarding educational services via email, telephone, SMS text message, or automated technology at the email address and phone numbers provided. Message & data rates may apply. You can reply STOP to opt-out of further messaging. I understand this consent is not required to attend any Bay Path University institution. This website’s privacy notice governs the submission and handling of this data.

By submitting this form, I acknowledge:

As a non-matriculated student, I am allowed to take up to nine credits.

Although the courses I complete at Bay Path University as a non-matriculated student may be evaluated for acceptance into a Bay Path University program, I know that there is no guarantee that they will be accepted.

As a non-matriculated student, I acknowledge that I will not have an academic advisor assigned. However, it is recommended that I seek academic advice from the program director.

Courses may not qualify for state licensure programs.