EMS ISD Dual Credit Agreement Form & Registration Packet

StudentFull Name:______

StudentID: Current Grade Level: ______

Graduation Year: Due Date: February 9, 2018

For this packet to be accepted, the following steps must be complete. Please your write your initials by these steps as you complete them. Please fill out any information requested.

Initial Here / Enrollment Process Step
Dual Credit Student Information Online Form
The online form is used to gather information that is needed on TCC paperwork. Use the link provided to access the online form.
Register for Dual Credit Courses in Career Cruising
When registering for courses with your counselor, please select your desired dual credit course in Career Cruising. Your student Career Cruising account can be accessed through:
Apply to TCC through Apply Texas
Complete the application to TCC through Apply Texas. Access Apply Texas through
Apply Texas Application IDNumber: ______
--- OR ---
TCC IDNumber:______(This is a 7 digit number. You will receive via email from TCC 5-7 days after completing the Apply Texas application with this number.)
TCC Forms: FERPA Waiver of Privacy & Health Services
Complete the attached FERPA and Health Services Form. FERPA: Allows TCC personnel to provide information concerning student education records to the individual identified on the form. Health Services: Consent to emergency treatment for a minor student. Forms are voluntary. If you choose not to complete a form, please write “DECLINE” on the top of the form.
TSI Assessment & Online Readiness Assessment
Check the appropriate option below:
_____ I have not taken the TSI and would like to be assessed the week of February 19th at my home campus.
_____ I have not taken the TSI and I will take the TSI at TCC by 3/19/18. Once I have passed, I will submit scores to my campus CCRS by March 20th.
_____ I have taken the TSI at my home campus, but I need to retest at TCC and will do so by March 19th. Once I have passed the TSI, I will submit scores to my campus CCRS by March 20th.
_____ I have taken and passed the TSI, SAT, or ACT. A copy of my SAT or ACT score(s) are attached and official scores sent to TCC.
Meningitis Vaccination
Include vaccine documentation only if taking Firefighter or Aircraft Technology. If you are taking a course on the TCC campus on your own time,please turn in this documentation to TCC when self-registering.

I understand each of the following steps must be complete by the deadline. If steps are not complete by the deadline, the dual credit option will be removed from my courses in Career Cruising, and I will not be able to enroll in a dual credit course for the 2018-19 school year.

Signature: ______Date: ______

Please refer to the EMS ISD Dual Credit Handbook for additional information on forms and procedures.

Please turn in completed packets to the Boswell Counseling Office.

For questions, please contact Jocelyn McBride,