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2021 Dual Enrollment Application
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To participate in Mercer University's dual enrollment program, take the following steps:
Complete the online application below.
Submit most recent high school transcript and at least one letter of recommendation to
dualenrollment@mercer.edu
.
If you prefer to send physical documentation, please mail materials to:
Mercer University Undergraduate Admissions
Attn: Dual Enrollment Program
1501 Mercer University Drive
Macon, GA 31207
Personal Information
First Name*
Preferred First Name
Middle Name
Last Name*
Social Security Number
Date of Birth*
Date of Birth*
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Mailing Address*
Mailing Address*
Country
Street
City
Region
Postal Code
Email Address (Please do not use your GCPS email address.)*
Cell Phone Number*
Would you like to receive text message communication from Mercer?
Would you like to receive text message communication from Mercer?
Yes
No
Alternative Phone Number
Primary Citizenship*
Afghanistan
Aland Islands
Albania
Algeria
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Bassas Da India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius, and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos Islands (Keeling Islands)
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Coral Sea Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Europa Island
Falkland Islands (Islas Malvinas)
Faroe Islands
Federated States of Micronesia
Fiji
Finland
Foreign/Unknown
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia, The
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong S.A.R.
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Jan Mayen
Japan
Jersey
Jordan
Juan De Nova Island
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau S.A.R.
Macedonia, Republic of North
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man, Isle of
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Norway
Oman
Pakistan
Palau, the Pacific Islands of
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Spratly Islands
Sri Lanka
Sudan
Suriname
Svalbard
Svalbard and Jan Mayen
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tromelin Island
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Permanent Resident
Yes
No
Are you Hispanic or Latino?
Are you Hispanic or Latino?
Yes
No
Regardless of your answer to the prior question, please check one or more of the groups in which you consider yourself to be a member.
(Any information provided is used for reporting purposes and not to make an admission decision.)
Regardless of your answer to the prior question, please check one or more of the groups in which you consider yourself to be a member.
(Any information provided is used for reporting purposes and not to make an admission decision.)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific
Other
White
Gender
Gender
Female
Male
High School Graduation Year
2020
2021
2022
2023
2024
2025
Academic Program*
Accounting
Africana Studies
Anthropology
Art
Biochemistry & Molecular Biology
Biology
Business
Chemical Commerce
Chemistry
Classical Studies
Communication Studies
Computational Science
Computer Science
Criminal Justice
Cybersecurity
Economics
Education: Computer Science
Education: Undecided
Elementary/Special Education – The Holistic Child
Engineering: Biomedical
Engineering: Civil
Engineering: Computer
Engineering: Electrical
Engineering: Environment
Engineering: Industrial
Engineering: Mechanical
Engineering: Undecided
English
English: Creative Writing
Entrepreneurship
Finance
French
Global Development Studies
Global Health Studies
Graphic Design
Health and Physical Education
History
Industrial Management
Information Science & Technology
International Affairs
International Business
Journalism
Kinesiology
Latin
Law & Public Policy
Management
Marketing
Mathematics
Media Studies
Music
Music: Education
Music: Elective Studies
Music: Performance
Neuroscience
Nursing
Philosophy
Philosophy, Politics & Economics
Physics
Political Science
Psychology
Public Health
Religion
Secondary Education - Biology
Secondary Education - Chemistry
Secondary Education - English
Secondary Education - History
Secondary Education - Math
Secondary Education - Physics
Secondary Education - Political Science
Sociology
Southern Studies
Spanish
Sports Marketing & Analytics
Statistics
Supply Chain Management
Technical Communication
Theatre
Undecided
Women's & Gender Studies
Pre-Professional Track
Pre-Anesthesiologist Assistant
Pre-Athletic Training
Pre-Clinical Psychology
Pre-Dental
Pre-Law
Pre-Medicine
Pre-Nursing
Pre-Occupational Therapy
Pre-Optometry
Pre-Pathologist Assistant
Pre-Pharmacy
Pre-Physical Therapy
Pre-Physician Assistant
Pre-Podiatry
Pre-Public Health
Pre-Theology
Pre-Veterinary Medicine
Academic Background
Search and select your high school.*
School Code
Level of Study
Graduate
High School
Undergraduate
Self-Reported Scores and GPA
High School GPA
SAT Total
ACT Composite
What are your goals for participating in Mercer University's dual enrollment program and what do you hope to learn from this experience?*
(500 word maximum )
Family Information
Parent/Guardian 1
Relationship to you
Mother
Father
Legal Guardian
Other
First Name
Last Name
Phone Number
Email Address
Parent/Guardian 2
Relationship to you
Mother
Father
Legal Guardian
Other
First Name
Last Name
Phone Number
Email Address
Have you ever been convicted of a misdemeanor or felony?
Have you ever been convicted of a misdemeanor or felony?
Yes
No
If yes, please explain.
I certify that this information is true and completed to the best of my knowledge. Falsification of information on this application could jeopardize acceptance and enrollment.
Signature*
Application Date
Application Date
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Submit
1501 Mercer University Drive
Macon, GA 31207
3001 Mercer University Drive
Atlanta, GA 30341
1250 East 66th Street
Savannah, GA 31404
Columbus
Douglas County
Henry County
Warner Robins
1-800-MERCER-U
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