Early College Application Spring 2025

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Instructions: High school students are welcome to take up to two (2) courses for college credit at Southern or at a participating high school during the fall and spring semester and (1) course for college credit at Southern or a participating high school during the summer with the waiver. (The waiver is only applicable to students who are enrolled at a participating high school).

To get started, complete this application; there is no fee to apply. You will receive a response to the email address listed on your application within two (2) week.

Student Information

First Name

Middle Name

Last Name

Chosen First Name

Gender

Female

Male

Gender Identity

Pronouns

Permanent Address

Country

Street

City

Region

Postal Code

Birthdate

Permanent Telephone

Cell Phone Number

Note: We recommend that you do not use your school email account if it does not accept emails from outside the school district.

Email Address

Confirm Email Address

Parent or Guardian First Name

Parent or Guardian Last Name

Parent or Guardian Email

Ethnic Background and Citizenship: The following questions are voluntary and for statistical purposes only. It has no bearing on your ability to register for classes at Southern Connecticut State University.

Are you Hispanic or Latino?

Yes

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:

Do either of your parents hold a bachelor degree?

Yes

Primary Citizenship

Secondary Citizenship, if applicable

Are you a Permanent Resident of the US?

Yes

The University requests that you provide your social security number (SSN). We are required by federal law to inform you of this request. The SSN is collected to enable the University to comply with federal requirements mandated under the IRS tax laws and the Title IV student aid legislation and for other administrative purposes.

Social Security Number

School Information

Do you attend a Connecticut High School?

Yes

High School

Anticipated High School Graduation Year

Which semester are you applying for?

Do you plan on taking an Early College course on the SCSU campus?

Please enter the name of your EC instructor or the counselor who helped you enroll in the EC class.

School Counselor First Name

School Counselor Last Name

School Counselor Email Address

Have you previously applied to or taken Early College courses at Southern?

Yes

Are you part of the Conncap Program? (If you do not know what the Conncap Program is, please answer no)

Yes

Are you eligible for federal free or reduced price lunch?

Yes

Agreements

By submitting this form, I agree to abide by the Southern Connecticut State University’s Acceptable Use Agreement, located on the SCSU Technology page. I understand that there are no expectations of privacy. I understand that any violation of this agreement may result in loss of access to computing privileges and may result in disciplinary actions that could affect my employment or student status.

I agree

To become a registered student, you must agree to the Student Enrollment Agreement by selecting 'Yes' below.