Indian River State College Dual Enrollment program provides the opportunity for qualified high school students who meet the eligibility criteria specified in their District’s articulation agreement, to enroll in college courses while simultaneously enrolled in a high school. Students will receive both high school and college credit for these courses.
Dual Enrollment students who repeat a class previously taken under the Dual Enrollment program are required to pay IRSC directly for the cost of tuition and fees. Textbooks for repeated classes are also the responsibility of the student.
Student Data (Please Print)
Form Fields:
- IRSC ID#: Text field for student’s IRSC identification number
- Semester/Year of Repeat: Text field for indicating when the course is being repeated
- Student Name: Text field for full student name
- Date of Birth: Text field for student’s date of birth
- Address: Text field for street address
- City: Text field for city
- State: Text field for state
- Zip Code: Text field for zip code
- Phone Number: Text field for student’s phone number
- High School Name: Text field for the name of the high school
- Current High School Grade: Radio button selection with options for Freshman 9, Sophomore 10, Junior 11, or Senior 12
Student Eligibility Verification
- Checkbox: Student has met with their IRSC advisor to develop an Academic Plan/Guided Pathway
- Checkbox: Student is repeating the same course previously attempted
- FWI Course: Text field for entering FWI (First-Year Writing in Integrated) course information
- Checkbox: The student meets the unweighted college GPA requirement of a 2.0 to be eligible for Dual Enrollment
Course Request(s)
From the schedule of courses, list your choices (registration subject to space availability).
| Course # | Course Title | College Credits | High School Subject Area | High School Credits |
|---|---|---|---|---|
High School Verification
I verify that the above course(s):
- Is a repeat of a prior unsuccessful attempt (i.e., grade of D, F, W or U)
- May be used to meet the student’s high school graduation requirement
- Will be posted to the student’s high school transcript
High School Signature: Signature line for high school official
Date: Date field
Student Acknowledgement
I understand and accept the conditions of Dual Enrollment at IRSC and understand that as a Dual Enrollment student, I am a dependent student and understand that IRSC may release information from my Dual Enrollment academic record to my parents and/or high school officials including grades, attendance and official transcripts. I understand that this is a repeat of a course taken under Dual Enrollment; therefore, I must pay IRSC directly for class fees.
Student Signature: Signature line for student
Date: Date field
IRSC Advisor: Name line for IRSC advisor
Date: Date field
IRSC-68B (Rev.10/2025) — IRSC is an EA/EO educational institution.
