Concurrent/Dual Enrollment Application

Full Legal Name

The full legal name you give on this application will be used for all of your university records.

Legal First Name*

Preferred First Name

Middle Name

Last Name*

Basic Information

Birthdate*

Gender*

Citizenship Status*

SSN*

Your Social Security number is required for Financial Aid and Scholarships. Additionally, the University is required by federal law to report to the Internal Revenue Service (IRS) the name, address, and SSN of individuals from whom tuition and expenses are received and/or to whom compensation is paid.

Have either of your parents (or legal guardians) earned a four year college degree?

Yes

No

Contact Information

Email*

Confirm Email*

Cell Phone

Home Phone

Mailing Address*

Country

Street

City

Region

Postal Code

Race and Ethnicity (Optional)

Are you Hispanic or Latino?

Yes

No

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

High School Information

Required: Enter information for the high school you are currently attending.

High School Name (type and then select from list)*

When did you start at this high school?*

Expected graduation date*

HIDDEN FIELD - HS CEEB

HIDDEN FIELD - HS Level of Study

College Opportunity Fund

The Colorado Opportunity Fund (COF) provides a tuition stipend for eligible undergraduate students who are Colorado residents. If you qualify, the COF stipend pays a portion of your total in-state tuition.

In order to receive the stipend, students must have a COF account and allow its use at MSU Denver.

Do you allow for MSU Denver to create a COF account on your behalf so you can receive the stipend benefit, if eligible?

Yes, apply to COF on my behalf

No, do not apply to COF on my behalf

I already have a COF account

Note: If you select no, you will need to complete the COF process independently in order to receive the reduced tuition. Find out more at msudenver.edu/cof

Do you authorize lifetime use of your COF Stipend?
Lifetime authorization does not require your re-authorization every term.

Yes

No

Student signature

Student Signature

Today's Date

MSU Denver is dedicated to ensuring access and inclusion for all students with disabilities. The Access Center serves students with either temporary medical conditions or permanent physical, health, learning, sensory, or mental health disabilities (you may or may not have an IEP or 504 plan at your high school). Contact the Access Center Coordinator, Robin Paulson, directly by email at rpaulso4@msudenver.edu to schedule an appointment.

Only submit this application form once. You will receive a confirmation email shortly after submitting.

App Source Type

App Round

App Round Always Create

App Submitted Flag

waive app fee

Student Type

Tuition Classification

What MSU Denver program are you planning to pursue?*

Admissions

Concurrent/Dual Enrollment Application

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