Dual Enrollment for High School Application

Round 2026-2027

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Dual Enrolled

App Major = ND/NM

Load = PT

* Denotes Required

Personal Information

First Name

Preferred First Name

Middle Name

Last Name

Birthdate

Email Address

Confirm Email Address

Mobile Phone Number

Home Phone Number

Permanent Address

Country

Street

City

Region

Postal Code

Mailing Address

Country

Street

City

Region

Postal Code

Citizenship

Are you a US Permanent Resident?

SSN

Are you a Louisiana Resident?

Are you Hispanic or Latino?

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

Academic Information

When do would you like to pursue dual enrollment studies at SUBR?

Most Recent High School Attended
(If you cannot locate your school in the dropdown, please type the name, city and state of the school.)

Anticipated Graduation Date

HIDDEN CEEB

HIDDEN Level of Study

Parent/Guardian Information

Please provide contact information for at least one parent or guardian.

Relationship

First Name

Last Name

Email

Address

Country

Street

City

Region

Postal Code

Phone Number