Dual Enrollment/Early College Enrollment/Tuition Approval Form

Name

First NameLast Name

Email

example@example.com

NMC Student ID

.Date of Birth

DayMonthYear

Date of Birth

Date

Current Grade:

Semester of Attendance

What program are you enrolling in?

1st Requested Course

HS will pay - 1st Class Requested

2nd Requested Course

HS will pay - 2nd Requested Course

3rd Requested Course

HS will pay - 3rd Requested Course

4th Requested Course

HS will pay - 4th Requested Course

Other Course not listed

HS will pay - Other Requested Course

Total Number of Classes Requested?

High School

Please select the principal and counselor you are working with.

Other High School Not Listed

Principal

Principal Email

example@example.com

Other Principal Name

First NameLast Name

Other Principal Email

example@example.com

Chosen counselor email

example@example.com

Chosen counselor name

Choose a Counselor from Alba HS

Choose your Counselor from Beaver Island HS

Choose your Counselor from Bellaire HS

Choose your Counselor from Benzie HS

Choose your Counselor from Buckley HS

Choose your Counselor from Cadillac HS

Choose your Counselor from Central Lake HS

Choose your Counselor from Charlevoix HS

Choose your Counselor from Concord HS

Choose your Counselor from East Jordan HS

Choose your Counselor from Elk Rapids HS

Choose your Counselor from Ellsworth HS

Choose your Counselor from Evart HS

Choose your Counselor from Forest Area HS

Choose your Counselor from Frankfort HS

Choose your Counselor from Gaylord HS

Choose your Counselor from Glen Lake HS

Choose your Counselor from Grand Traverse Academy HS

Choose your Counselor from Grayling HS

Choose your Counselor from Greenspire HS

Choose your Counselor from Harbor Springs HS

Choose your Counselor from Hartford HS

Choose your Counselor from Highpoint Virtual Academy HS

Choose your Counselor from Home HS

Choose your Counselor from Houghton Lake HS

Choose your Counselor from Inland Lakes HS

Choose your Counselor from iCademy Global HS

Choose your Counselor from Insight School of Michigan HS

Choose your Counselor from Interlochen Arts Academy HS

Choose your Counselor from Johannesburg-Lewiston HS

Choose your Counselor from Kalkaska HS

Choose your Counselor from Kingsley HS

Choose your Counselor from Lake City HS

Choose your Counselor from Leelanau HS

Choose your Counselor from Leland HS

Choose your Counselor from Lifetech Academy

Choose your Counselor from Mackinaw City HS

Choose your Counselor from Mancelona HS

Choose your Counselor from Manistee HS

Choose your Counselor from Manton HS

Choose your Counselor from Marion HS

Choose your Counselor from McBain HS

Choose your Counselor from McBain Northern Michigan Christian HS

Choose your Counselor from Mesick HS

Choose your Counselor from Michigan Connections Academy

Choose your Counselor from Michigan Great Lakes Virtual Academy HS

Choose your Counselor from Michigan International Prep HS

Choose your Counselor from Michigan Virtual Charter Academy

Choose your Counselor from New Covenant Christian Academy

Choose your Counselor from North Central Academy

Choose your Counselor from Northport HS

Choose your Counselor from Northwest ED/CTC

Choose your Counselor from Onaway HS

Choose your Counselor from Onekama HS

Choose your Counselor from Other HS Not Listed

Choose your Counselor from Pellston HS

Choose your Counselor from Petosky HS

Choose your Counselor from Pine River HS

Choose your Counselor from Reed City HS

Choose your Counselor from Rogers City HS

Choose your Counselor from Roscommon HS

Choose your Counselor from Rudyard HS

Choose your Counselor from Saint Francis HS

Choose your Counselor from St Mary High School

Choose your Counselor from Suttons Bay HS

Choose your Counselor from Traverse City Central HS

Choose your Counselor from Traverse City Christian HS

Choose your Counselor from Traverse City High School

Choose your Counselor from Traverse City West HS

Choose your Counselor from Wexford-Missaukee ISD/CTC

Choose your Counselor from Williamston High School

Other Counselor Name

First NameLast Name

Other Counselor Email

example@example.com

HS Counselor

HS Counselor 2

HS Counselor 3

HS Counselor 4

HS Counselor 5

HS Counselor 6

HS Counselor Email

example@example.com

HS Counselor Email 2

example@example.com

HS Counselor Email 3

example@example.com

HS Counselor Email 4

example@example.com

HS Counselor Email 5

example@example.com

HS Counselor Email 6

example@example.com

FERPA INFORMATION

You as the Student are protected by federal privacy laws (FERPA) that limit what colleges can share about a student’s record. If you would like Northwestern Michigan College to speak with or share information with a parent, guardian, or other trusted individual, you must complete a FERPA release form.

Use the link below to grant permission for NMC to communicate with approved individuals about your enrollment, billing, or academic information.

FERPA - Authorization to Release Student Information Form

Parent/Guardian First Name:

Parent/Guardian Last Name:

Parent/Guardian Email Address

example@example.com

Daytime Phone

Please enter a valid phone number.Format: (000) 000-0000.

Notes:

Maximum # of courses authorized for semester

Maximum amount authorized (optional)

Total Number of Credits/Contact Hours Allowed

Date

STUDENT INFORMATION SECTION

STUDENT SECTION

PRINCIPAL/COUNSELOR SECTION

PARENT/LEGAL GUARDIAN SECTION

TERMS AND CONDITIONS