Midland College Dual Credit/Early Admissions Programs Enrollment Agreement

The MC Application for Admission and all test scores must be on file with the MC Admissions Office prior to enrolling in class.
* = Required field

Social Security: * Parent Email Address:
Last Name:  * First Name: *
High School:  * Date of Birth: *
Anticipated Graduation Date: *  
* Cell/Alternate Phone #:
Home Street Address: * City: *
State: * Zip Code: *



As a dual credit/early admissions student I understand and agree to the following in order to enroll and receive college credit:

  • I must meet the high school’s guidelines and be approved to take dual credit/early admission courses.
  • I must complete all paper work and submit it to Midland College to receive my college credit. Paper work includes Application for Admission, Enrollment Agreement form (renewed each fall), test scores (ACT, SAT, TSI or PSAT for 11th grade only), and Enrollment form.
  • I must meet the requirements of the Texas Success Initiative (TSI) for the subject area(s) that correspond to the courses I wish to take.
  • I understand that I must take the free math placement test if I plan to register for a higher level math class than Math 1314, Math 1324 or Math 1342 if I have not yet met the prerequisites.
  • I am 16 years of age or older (Exceptions may be made by the Vice President of Student Services.)
  • I am only allowed 30 semester credit hours of dual credit taken on the high school campus.
  • I understand that I am not officially enrolled until all required registration documents and payment have been submitted to the college. Payment is due at the time of enrollment. If I do not make payment at that time, I understand that I am subject to being dropped for non-payment. If I am allowed to be reinstated after the census date, an additional reinstatement fee will be applied.
  • I agree to obtain additional permission from the Vice President of Student Services at Midland College or designee if I choose to take more courses than the limit of two courses per semester.
  • I understand that dual credit/early admissions courses are considered college-level courses, and I agree to comply and follow all policies of Midland College and the school district.
  • I understand that I must notify Midland College by completing the withdrawal process either online or in person if I decide to drop or withdraw from my courses. Midland College must be notified by the student or by the school district if student is no longer in the course. Notification must occur by the last date to withdraw (see college calendar).
  • I understand that my electronic signature gives the high school permission to send to Midland College all required test scores as well as my final transcript upon graduation. My signature/electronic signature also allows Midland College to release my education records to the parent or guardian listed below upon their request and to the high school until such time as the student is no longer enrolled at the high school.

Please enter one of the following as your electronic signature: DL#, High School ID#, Midland College ID# or Pin:

Parent/Guardian Permission

Please enter your Driver’s License number or State Identification Number, if you give permission for the above student to enroll in Midland College’s Dual Credit or Early Admission programs.

Parent/Guardian Name:  Date: *

Driver's License Number or State ID Number:              State: *


Please click the submit button to continue.