Dual Enrollment/Early College Enrollment/Tuition Approval Form

STUDENT INFORMATION SECTION
Name*

First NameLast Name
Email*
example@example.com
NMC Student ID
.Date of Birth

DayMonthYear
Date of Birth*

MonthDayYear
Date
Current Grade:*
STUDENT SECTION
Semester of Attendance*

Summer 2026 (May)Fall 2026 (August)
What program are you enrolling in?*
1st Requested Course*
HS will pay - 1st Class Requested

Yes - ApprovedNo - DeniedDistrict CalculationParent PayCTC
2nd Requested Course
HS will pay - 2nd Requested Course

Yes - ApprovedNo - DeniedDistrict CalculationParent PayCTC
3rd Requested Course
HS will pay - 3rd Requested Course

Yes - ApprovedNo - DeniedDistrict CalculationParent PayCTC
4th Requested Course
HS will pay - 4th Requested Course

Yes - ApprovedNo - DeniedDistrict CalculationParent PayCTC
Other Course not listed
HS will pay - Other Requested Course

Yes - ApprovedNo - DeniedDistrict CalculationParent PayCTC
Total Number of Classes Requested?*
PRINCIPAL/COUNSELOR SECTION
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
Choose a Counselor from Alba HS
Chosen counselor email
example@example.com
Chosen counselor name
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 Home HS
Choose your Counselor from Houghton Lake HS
Choose your Counselor from Inland Lakes 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
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
PARENT/LEGAL GUARDIAN SECTION
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.
Notes:

Advisor HoldCan RegisterDenialFERPAHolding for AP ScoresNeeds to TestNeeds EA ApprovalNeeds HS TranscriptNo Longer InterestedNot ApprovedOrientationOutstanding BalanceRegisteredWaitlisted
Maximum # of courses authorized for semester
Maximum amount authorized (optional)
Total Number of Credits/Contact Hours Allowed
TERMS AND CONDITIONS
Date

MonthDayYear
Date
Should be Empty:

STUDENT INFORMATION SECTION

STUDENT SECTION

PRINCIPAL/COUNSELOR SECTION

PARENT/LEGAL GUARDIAN SECTION

TERMS AND CONDITIONS