Landmark College Online Dual Enrollment Application

Semester

Are you applying through the Vermont Agency of Education Dual Enrollment Voucher Program?

Yes

No

Name, city, state of your most recent high school where we can obtain an official transcript

School contact name (e.g. case manager, transition specialist)

Are you applying through a high school or organization that "partners" with Landmark College?

A College partner may receive student grade reports, pay tuition, or provide students with advisors. (If you do not know if you are applying through a partnering school or organization, ask a parent, guardian, or school counselor.)

Yes

No

Unsure

If you have questions about partnerships, please contact Carroll Pare at [email protected]

Please enter the name, city, state of your Partner Organization if different from your High School entered above.

If your High School is not a Partner with Landmark College, please ensure you have the School Representative Statement Form completed beforehand to upload to this page.

School Representative Statement Upload File

How did you hear about our Online Dual Enrollment courses?

Mailing

Radio

Print ad

Internet search

Referral

Facebook

Other

APPLICANT INFORMATION

Student's First Name

Middle

Last Name

Preferred Name

Date of Birth

Legal Sex

Male

Female

Self-Identify

Primary Language Spoken at Home

Year of high school graduation (anticipated or completed)

2022

2023

2024

Other

Year of enrollment in college (anticipated)

2022

2023

2024

2025

Other

Applicant Home Address

Applicant's Phone Number

Applicant's Email

This email address is used for communications between the student, the advisor, and the instructor.

ETHNICITY

Do you identify as Hispanic or Latino?

Yes

No

Student would like to be identified as one or more of the following races:

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

PARENT/GUARDIAN INFORMATION (MAY BE USED FOR BILLING)

Parent/Guardian 1

First Name of Parent/Guardian 1

Middle

Last Name

Parent/Guardian 1 Address

Parent/Guardian 1 Phone Number

Parent/Guardian 1 Email

Parent/Guardian 1 is a Billing Contact?

Yes

No

Parent/Guardian 2

First Name of Parent or Guardian 2

Middle

Last Name

Parent/Guardian 2 Address

Parent/Guardian 2 Phone Number

Parent/Guardian 2 Email

Parent/Guardian 2 is a Billing Contact?

Yes

No

COURSE SELECTION

To see available courses, please select semester above.

IMPORTANT: Our Computer Science courses use software that requires you to have a PC or laptop running Windows or MacOS. Chromebooks and iPads are not sufficent.

IMPORTANT: Our Statistics course uses software that requires you to have a PC or laptop running Windows. A Mac or a Chromebook is not sufficent.

IMPORTANT: Our Statistics course requires that you've earned a C or higher in a high school math course. Please attach your high school transcript here if available or have your high school administrator email it to [email protected] at your earliest convenience. Thank you.

High School Transcript Upload File

This documentation only required if you are applying to take Statistics.

PERSONAL STATEMENT - STUDENT

Please explain in your own words your goals in taking this course(s).

Attach separate student statement to application, if needed. Please include a minimum of five sentences in your response.
Applications without a student statement will not be considered.

Optional Student Personal Statement Upload File

STATEMENT - PARENT/GUARDIAN

Please explain why you would like your student to take this course.

Attach separate parent/guardian statement to application, if needed.

Optional Parent/Guardian Upload File

Course Expectations for Students

By applying to the Landmark College Online Dual Enrollment program and signing this application, students indicate their understanding that this is an intensive, rigorous academic course that offers college credits upon successful completion.

Student agrees to (please check boxes and sign):

Logon to the course and course platform - Canvas, as soon as the course is open, and regularly engage in the course every week (four to five times a week), monitor Canvas email, and communicate with the instructor and Course Advisor, as needed.

Dedicate at least 9 hours per week for readings, assignments, postings, and participation in synchronous sessions and Online discussions.

Fully participate in the course from the start and immediately communicate any navigation or technical difficulties to the instructor and/or Course Advisor.

Create and maintain an Online learning environment which promotes respect and integrity.

Produce high quality work that meets or exceeds course standards.

Complete all assignments, quizzes and activities by the due date; although break periods may not coincide with scheduled breaks at the student's high school, student is responsible to immediately communicate with the instructor or Course Advisor if an assignment is not done.

Meet All Online Course System requirements (see paragraph below)

Acknowledge that this document serves as official policy for all students in the Landmark College high school Online dual enrollment program.

Online Course System requirements:

Students will need the ability to access our online course content through a browser running on a desktop or laptop computer. Mobile phones and tablets may not be adequate or appropriate for some aspects of the course materials. All popular browsers are supported, but we recommend Chrome or Firefox if available. A web cam and headset are highly recommended, and access to YouTube, Vimeo, and other video hosting services should be unrestricted.

A productivity suite such as Microsoft Office, Microsoft Office 365, Google G-Suite, Apache Open Office, or LibreOffice is recommended or may be required for Landmark College online courses.

UNDERSTANDING OF COMMITMENT

By applying to the Landmark College Online Dual Enrollment program and signing this application, students indicate their understanding that this is a rigorous academic course which offers college credits upon successful completion.

NOTE: Landmark College reserves the right to waive requirements or request additional information as necessary.

Signatures below indicate that the information in this application is correct and has been clearly presented to the student; and that all participants agree with the information and commitments presented.

Student Signature

Please use your mouse to sign.

Parent/Guardian Signature

Please use your mouse to sign.

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Online Dual Enrollment Student Individual Application

To see available courses, please select semester above.

Your application has been received. Thank You!