Early College Application

This application is intended for current high school students interested in taking college courses.

Please complete this application completely, when finished please submit this form to your school counselor for approval

Any questions can be directed to krockwell@commonwealthu.edu

Personal Information

First Name

Middle Name

Last Name

Preferred Name

Email Address

Birthdate

Mobile Phone Number

Mailing Address

Country

Street

City

Region

Postal Code

Gender

Preferred Gender

Hispanic

Country of Citizenship

Are you a resident of Pennsylvania?

Enrollment Information

Campus Location (App)

Semester

If you are unsure of your anticipated major, choose Exploratory Studies.

Anticipated Major

Please list what you are interested in studying

Parent/Guardian Information

First Name of Parent/Guardian

Last Name of Parent/Guardian

Relationship

Phone of Parent/Guardian

Email of Parent/Guardian

High School Information

High School currently attending

High School Graduation Year

Set Matric Program **Hidden**