Early College - Returning Student Request Form

Early College Intended Plan

I would like to continue taking Early College courses this upcoming term:

Early College Academic Year

Please note an evaluation of current student transcripts and updated permission forms are required for each semester term a student plans to enroll.

Personal Information

Preferred First Name

First Name

Middle Name

Last Name

Email Address

Birthdate*

Cell Phone Number

Social Security Number
Optional but recommended.

Mailing Address*

Country

Street

City

Region

Postal Code

I have a parent/guardian who is currently a Westminster College Employee.*

Yes

No

Parent/Guardian Information

One parent/guardian contact is required.

Relationship Type:

Parent/Guardian: First Name

Parent/Guardian: Last Name

Parent/Guardian: Email

Parent/Guardian: Phone Number

Is parent/guardian a Westminster College employee?*

Yes

No

Delete_ID_
Relationship Type: Parent/Guardian: First Name Parent/Guardian: Last Name Parent/Guardian: Email Parent/Guardian: Email Is parent/guardian a Westminster College employee? Is parent/guardian a Westminster College employee? Yes No

+ Add Parent/Guardian

High School Information

What school do you currently attend?

High School Graduation Month and Year*

Are you home schooled?*

Yes

No

School Counselor Information

School Counselor: First Name

School Counselor: Last Name

School Counselor: Email

School Counselor: Work Phone Number

Once you click submit, you will automatically receive a confirmation email. If you don't see it in your inbox, please check your spam or junk folders. Have questions? We’re happy to help—just email admissions@westminster.edu or call (724) 946-7100.