Dual Enrollment Request for Information

Please send your contact information and we will provide more information about taking Dual Enrollment classes at Lourdes University. We hope you decide to become a member of the Dual Enrollment program!

Personal Information

Student Email Address *

First Name *

Middle Name

Last Name *

Birthdate *

Student Mobile Phone number (xxx-xxx-xxxx)

May we send text messages?

Yes

Mailing Information

Mailing Address *

Country

Street

City

Region

Postal Code

Academic Information

What is your anticipated high school graduation year?

What semester would you like to enroll? Fall = August Start, Summer = May Start, Spring = January Start

What is your current Academic Program of Interest

Please choose your current High School from the search below.*

What questions can we answer for you?