Dual Enrollment Application 

Personal Information







Please note that in order to receive the Dual Enrollment Grant, you must be a U.S. Citizen and a TN Resident


Contact Information







-----Emergency Contact Information -----





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Academic Information


Please note that you must have completed 10th grade in order to take Dual Enrollment at CBU.








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Dual Enrollment Information 









Course Selection



Please initial the  following statement:

Please read and provide your Electronic Signature for the statement below: 

I certify that the information herein is complete and correct and that I have not attended any educational institution not specified. I understand that falsification of any information on this form will subject me to dismissal from Christian Brothers University.
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