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  • Student Information

    • [mm/dd/yyyy]
  • United States Social Security Information
    • Please note if a social security number is not provided to the University, you will not be eligible to receive a 1098T and receive an educational tax credit.

       
  • US State of Residency
    • Approved States:
      Students in the following states are approved to participate in the dual enrollment online program:  Alabama, Arizona, California, Colorado, Georgia, Hawaii, Nevada, North Carolina, Oregon, South Carolina, Tennessee, Texas, Utah, Virgin Islands, Virginia, Washington, and Wisconsin.
  • Citizenship
  • International
  • Demographic Information
    • This information is not required and is used for government and institutional reporting.
    •                                                                    To Select More Than One Value Hold the Ctrl/Shift Keys.
  • Academic Interest
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  • Current Address - All address information is required. PO Box not allowed.
  • Mailing Address - If different than above. PO Box permitted.
  • Student Contact Information
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  • Parent/Guardian Contact Information
  • Communication Preference

    • Embry-Riddle Aeronautical University would like to contact you with updates about future opportunities for your child at Embry-Riddle. 

  • Notice to Parent/Guardian:
    • Please note that when a student reaches 18 years of age or attends a postsecondary institution, he/she becomes an “eligible student,” and all rights under the Family Educational Rights & Privacy Act (FERPA) transfer from the parent to the student.  To gain access to your child’s record while enrolled in the dual enrollment program will require the consent of the student through granting auxiliary access to you in the student system.

      Upon admission to Embry-Riddle Dual Enrollment, please have your child check their email address for the appropriate steps on setting up this access.    
* = Required Field
  • Planned Dual Enrollment Location
  • Georgia Move On When Ready
    • NOTE: Please review the Georgia Move on When Ready information under the “What’s New” section at http://gacollege411.org
  • Instructions for entering your high school information
    • STEP 1. Type and select the name of the school you attended from school list. For example:
      School Name                                       Suggested Keyword Lookup
      John F Kennedy High School                             Type Kennedy
      Jefferson County North High School                    Type Jefferson

      STEP 2. If you can’t find your school, type School Not Found and select School Not Found - High School from the list. 
      STEP 3. If you are homeschooled, type Home School and select your home school organization.  If you can't find your school, select Homeschooled.
      STEP 4. Type the School Name, City, State and Country if you can’t find your school or you selected Homeschooled.
  • Education History Remove Entry

    • [mm/yyyy]
    • If you selected School Not Found - High School or Homeschooled above, enter the school details below.
  • Current High School Student ID
* = Required Field
  • Certification Statement
    • I understand that withholding information requested or giving false information may make me ineligible to/or continuing at Embry-Riddle Aeronautical University or be subject to appropriate disciplinary action. 

      With this in mind, I certify that this information is true. I further certify that I agree to abide by the policies and conditions of enrollment as outlined in the Embry-Riddle Catalog. 

      In compliance with federal laws and regulations, Embry-Riddle Aeronautical University does not discriminate on the basis of race, color, sex, creed, nationality and ethnic origin, age, or disability in any of its policies, procedures, or practices. An equal opportunity institution, the University does not discriminate in the recruitment and admission of students, in the recruitment and employment of faculty and staff, or in the operations of any programs and activities. 

       

  • Financial Disclosure
    • Embry-Riddle Dual Enrollment Financial Disclosure Form

      At Embry Riddle Aeronautical University, the payment of tuition and all other applicable fees becomes an obligation at the time of registration. The Federal Truth-in-Lending Act requires a complete disclosure of the terms and conditions governing the payment of these obligations and the method of calculating any applicable finance charges. To comply with these regulations, the University asks prospective students and their parent or guardian to read carefully the following disclosures, terms and conditions before signing this Agreement.  It is my responsibility to assign a designee within the auxiliary access of the Student Center. This provides your designee the ability to make a payment on your account.

      The undersigned agrees to pay his/her obligation to Embry Riddle Aeronautical University (hereinafter referred to as “the University”) in accordance with the terms and conditions hereinafter set forth.  Failure to make payment in full by the due date may result in administrative withdrawal from classes. In the event that a student’s delinquent account is turned over to a collection agency and/or in the event of a suit to collect a delinquent account, the responsible party will be charged all of the University’s cost of collection, including attorney’s fees.

      This payment agreement will cover the student’s obligations to the University for as long as the student continues to incur obligations to the University and/or has an outstanding balance on his/her account. 

      The University reserves the right to change the terms and conditions of the Agreement prior to registration or validation for any term by sending a notice to the student at his/her billing address.  If there are any financial questions, please call the Bursar Office at 386-226-6280 for an explanation.


    • [mm/dd/yyyy]
    • If the participant is less than 18 years of age, the parent or legal guardian must also sign below.

      I am the legal parent or guardian for the above named participant. For myself and my minor child, I hereby consent to the named minor’s participation in the Embry-Riddle Dual Enrollment program, and agree to the terms contained herein, and understand that I am fully responsible for payment of the course(s) to Embry-Riddle.


    • [mm/dd/yyyy]
  • Billing Address
  • In case of errors or inquiries on your charges
    • The Federal Truth-in-Lending Act requires prompt correction of mistakes on your account.

      1. If you want to preserve your rights under the Act, here is what you do if you think your account charges are wrong or if you need more information about an item on your account.
      2. In writing please include the following:
        1. Your student’s name and account number
        2. A description of the error or an explanation (to the extent you can explain) why you believe it is an error.
        3. The dollar amount of the suspected error.
      3. Any other information (such as an address), which you think will help the University to identify you or the reason for your complaint or inquiry.

      Mail it as soon as you can, but in any case, early enough to reach the University within 30 days after your charges became due.

* = Required Field
  • FERPA DISCLOSURE STATEMENT

    • The Family Educational Rights and Privacy Act of 1974 (FERPA) is a federal law designed to protect the privacy of and limit access to student educational records. With this in mind, I understand that information pertaining to my status as a Dual Enrollment student at Embry-Riddle Aeronautical University may be released to my high school, and to my parent(s)/legal guardian(s).  I designate the individual(s) named below as my parent(s)/legal guardian(s) who should have access to my grade/enrollment information.
       
      It is my responsibility to assign a designee within the auxiliary access of the Student Center. I understand this provides the designated individual(s) with the ability to view my records and to make payments to my student account. I also understand that should my designee change it is my responsibility to update this in the Student Center.

    • [mm/dd/yyyy]
  • Legal Parent/Guardian Information