| **I plan to Dual Enroll (month/year) |
Current grade in high school |
| **To be completed by public high school students who wish to participate in the Postsecondary Enrollment Option program. |
If you have questions, call the GOCC Admissions Office,
toll free 1-888-994-7818 or 467-9945. |
| The Board of Trustees of Glen Oaks Community College affirms that through its admission,
recruitment, employment and educational policies, practices and programs, the College will seek to provide equal opportunity and affirmative action for everyone.
The College shall not discriminate against anyone because of color, race, sex, sexual orientation, national origin, religion, age, creed, height, weight, marital status, or
disability. For inquiries, contact the Title IX/504 coordinator who is located in the counseling office. |
| Submission of this form by "s/Name" electronically, shall constitute my signature on the form. By submitting this form, I certify that all answers on this application are complete and accurate to the best of my knowledge. I understand that incorrect or incomplete information submitted by me may result in delay, denial or withdrawal of admission, financial assistance or continued attendance.
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