Dual Enrollment - Application

Instructions

Thank you for your interest in applying to Union University's Dual Enrollment / Rising Senior Programs. Once you have filled out and submitted the form below, our Undergraduate Admissions office will send you a registration form to select your classes, for your parent / guardian to sign, and to get approval from your high school (if needed).

Should you have any questions throughout the process, please reach out to Abby Scott at 731-661-6578 or at ascott@uu.edu.

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Submitted Flag

Student Type

Dual Enrollment

Section I: Student Information

First Name

Middle Name

Last Name

Mailing Address

Country

Street

City

Region

Postal Code

SSN

*** SSN Required for the TN Dual Enrollment Grant and for 1098-T tax form ***

Phone #

Email Address

Anticipated High School Graduation Date (year)

Gender

Female

Male

Birthdate

Application Information

Program Type

Dual Enrollment

Program

Dual Enrollment - Augustine Classical Learning Academy

Dual Enrollment - JASA

Dual Enrollment - Home Life Academy

Dual Enrollment - Archway Online

Dual Enrollment - Trinity Christian Academy

Dual Enrollment - Family Christian School

Dual Enrollment - Christ Classical Academy

Dual Enrollment - Home School students (classes offered in-person and online)

Dual Enrollment - Other

Dual Enrollment - accessible via scrypt

School

Unknown High School CEEB Code - script

School

Augustine School CEEB Code - script

School

Unknown High School (for JASA) CEEB Code - script

School

HLA CEEB Code - script

Dual Enrollment Campus Location - via script

Archway Online CEEB Code - script

School

TCA CEEB Code - script

School

Family Christian School CEEB Code - script

School

Christ Classical Academy CEEB Code - script

Campus

Jackson

Home School General CEEB Code - script

Start Term

Which type of classes do you prefer?

Online

In Person

Both

Parent Information

Parent First Name

Parent Last Name

Parent Email Address

Agreements and Certifications

At any time have you been charged, arrested or convicted of a criminal offense of any nature?

Yes

No

Please provide detailed information:

Have you ever received official disciplinary action at a high school or college in which you were enrolled?
**Disciplinary action includes any probation, suspension, removal, dismissal, or expulsion as a result of any academic or behavioral misconduct, etc.

Yes

No

Please provide detailed information:

I understand that once my application has been submitted it may NOT be altered in any way. I certify that all of the information submitted in the application is my own work, factually true, and honestly presented. I authorize all schools attended to release all requested records and authorize review of my application. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation or expulsion, should the information I certified be false. I understand that an offer of admission is conditional, pending receipt of final transcripts showing work comparable in quality to that upon which the offer was based.

Do you certify the above?

Yes

No

Union University explicitly identifies itself as a Christ-centered academic community that derives its vision and values from Scripture and Christian tradition. The Student Handbook identifies five community values that are to govern the behavior of all who are a part of this university community. These are: the worth of the individual, self-discipline, academic / personal integrity, respect for property and the environment, and respect for community authority. Union University reserves the right to monitor an applicant's social media content as a part of the acceptance review process. We also reserve the right to re-visit or revoke an admissions decision if content is discovered that violates Union University's community values. A detailed explanation of each community value can be found on our website. By certifying here, I agree to honor the Community Values as outlined above.

Do you certify the above?

Yes

No

Upon receipt of this application for admission to the college by the admissions office, any applicant is entitled to review a copy of the college’s annual report prepared in compliance with the College and University Security Information Act as set forth in Tenn. Code Ann. §§ 49-7-22-1 et seq. Said report is available during regular business hours in the Office of Safety and Security. Additionally, a copy of the school’s security policies and procedures is available for your review. Subject to the Constitution of the United States and all applicable state and federal laws, Union University does not discriminate against applicants or students on the basis of race, color, and national or ethnic origin in its admissions or in the administration of its education policies, programs, or activities. In addition, subject to the Constitution of the United States and all applicable state and federal laws, Union University does not discriminate in its employment practices. Under federal law, the university may discriminate on the basis of religion in order to fulfill its purpose. Persons who believe their rights under this policy have been violated should contact the Office of the President, Union University. Links to important consumer information regarding financial assistance, cost of education, graduation rates, institution information, confidentiality of student records, athletic program statistics, and campus security are available from the Office of Student Financial Planning website.

Do you certify the above?

Yes

No

Signature

By signing below, you certify that the above information is true and correct to the best of your knowledge.

Click to Sign...