Dual Enrollment Exception Request

Complete this form to request for a ONE-SEMESTER EXCEPTION to the minimum standards outlined in the Dual Enrollment Articulation Agreements. An appeal will only be considered with the support of the High School Counselor, School District Designee and proper supporting documentation.

Student Information

Student Name:

IRSC Student ID#:

High School:

High School ID#:

Semester:

Academic Year:

Exception Requested

Supporting Documentation Included

Student letter of appeal as to why an exception should be allowed

High School Designee letter in support of appeal

Transcript indicating current GPA

Graduation requirements

Explanation for Exception

(add additional paper as needed)

High School Counselor

Approval: Yes No

Name:

Phone:

Signature:

Date:

High School District (If applicable)

Approval: Yes No

Name:

Phone:

Signature:

Date:

Indian River State College

Approval/Processed: Yes No

Name:

Phone:

Signature:

Date:

Rev: 09/2025