# of dual enrollment classes completed ____
SLU Dual Enrollment Request
2014-2015
You must attach a copy of your ACT/PLAN scores & SLU transcript to this form!!
Forms due to Ms. Latour by Friday, May 9.
Money for Fall only classes due to Ms. Latour by June 2.
Last Name ______First Name______Grade___
Phone number(s) ______
Email______
Place a check in the blank next to the SLU course(s) that you would like to schedule.
SLU Course(s) Corresponding High School Course Teacher
______MATH 161/MATH 241 (6 hrs) Advanced Math Statistics-H Dahmer
______MATH 161/MATH 162 (6 hrs) Advanced Math Pre-Calculus-H Dahmer
______MATH 163/MATH 241 (6 hrs) Calculus-H Thompson
______SPAN 101/SPAN 102(6 hrs) Spanish II Hair/Hoover
______ENG 101/102(6 hrs) English IV-H Waller
______CHEM 101(3 hrs) Chemistry II-H Amerson
______GBIO 151(3 hrs) Biology II-H Ponseti
______HIST 101 (3 hrs) World History-H Watts
______HIST 202(3 hrs) American History-H Grigas
______MUSIC 151(3 hrs) Fine Arts Survey-H Square
______PSYC 101 (3hrs) Psychology Heintz
Parent Signature ______Date______
Tuition: $150 per course
Due Dates: Fall – 6/2 (Math 161, Math 163, Span 101, Eng 101)
Yearlong – 10/1 (Chem 101, GBio 151, Hist 101, Hist 202, Music 151, Psyc 101)
Spring – 12/1 (Math 092, Math 162, Math 241, Span 102, Eng 102)
You must attach a copy of your ACT/PLAN scores to this form!!