Concurrent Enrollment Application

Personal Background

Name

Prefix

First Name

Preferred Name

Middle Name

Last Name

Suffix

Other Last Names Used

Address

Mailing Address

Country

Street

City

Region

Postal Code

Permanent Address

Same as Mailing Address

Country

Street

City

Region

Postal Code

Contact Information

Email Address

Mobile Phone Number

May we text you?

Yes

Alternative Phone Number

Biographical Information

Legal Sex

Personal Pronouns

Other Pronouns

Birthdate

Citizenship Information

Primary Citizenship

Dual Citizenship

Are you a permanent U.S. resident?

Yes

City of Birth

Country/Region/Territory of Birth

Social Security Number (omit dashes)

Academic Plans

Please use this section to outline your academic plans while at Westminster.

If there are specific courses you plan to take, please write the course title below.
You can view course descriptions in the Academic Catalog. Please refer to Self Service to see the dates and times when courses are offered.

High School Information

High School Name
Begin typing the name of your high school, followed by the state that you live in. Example: East, UT
Please only select from the options presented. If your high school is not listed, you can type it out here.

What grade are you in?

High School Counselor or Administrator Information

Please enter the following information for either a high school counselor or administrator.

Counselor or Administrator First Name

Counselor or Administrator Last Name

Counselor or Administrator Title

Counselor or Administrator Email

Counselor or Administrator Phone Number

An email will be sent to your high school counselor or administrator upon submission of this application. Permission from a high school counselor or administrator is required in order for you to enroll in Concurrent Enrollment courses at Westminster.

Family Information

Parent or Legal Guardian Information

Relationship to you

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Phone Number

Do you reside with this person?

Yes

An email will be sent to your parent or legal guardian upon submission of this application to obtain their consent for your concurrent enrollment at Westminster.

Westminster Connections

Are you a Westminster employee or a dependent of an employee?

Yes

What is their relationship to you?

First Name

Last Name

Have any relatives of yours ever attended Westminster University?

Yes

What is their relationship type?

First Name

Last Name

Review

Applicants for concurrent enrollment must:

Be a junior or senior in high school
Have a 3.0 GPA or higher in academic course work (confirmed by high school transcript)
Complete the concurrent enrollment application (including the parent and school permission forms)

Applicants for concurrent enrollment must:

Be a junior or senior in high school
Have a 3.0 GPA or higher in academic course work (confirmed by high school transcript)
Complete the concurrent enrollment application (including the parent and school permission forms)

I have read and acknowledge the terms and requirements of Concurrent Enrollment at Westminster University.

By submitting this application, I certify that all of the information provided is my own work, factually true, and honestly presented. 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.

Concurrent Enrollment Application

About Westminster

Student Involvement

Community Resources

Institutional Information