Avila University Dual CreditLoading...Student InformationFirst NameMiddle NameLast NameStudent Phone NumberText Opt inText Opt inYes, I give permission to Avila University to send me important updates via text messaging. (Standard message charges may apply)Email AddressBirthdateBirthdateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember123456789101112131415161718192021222324252627282930312026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900CitizenshipAfghanistanAland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAshmore and Cartier IslandsAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBassas Da IndiaBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius, and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandClipperton IslandCocos Islands (Keeling Islands)ColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCoral Sea IslandsCosta RicaCote D'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaEuropa IslandFalkland Islands (Islas Malvinas)Faroe IslandsFederated States of MicronesiaFijiFinlandForeign/UnknownFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambia, TheGeorgiaGermanyGhanaGibraltarGlorioso IslandsGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R.HungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJan MayenJapanJerseyJordanJuan De Nova IslandKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacau S.A.R.Macedonia, Republic of NorthMadagascarMalawiMalaysiaMaldivesMaliMaltaMan, Isle ofMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorwayOmanPakistanPalau, the Pacific Islands ofPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSpratly IslandsSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTromelin IslandTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis and Futuna IslandsWestern SaharaYemenZambiaZimbabweSocial Security Number (omit dashes)RaceRaceAmerican Indian or Alaska Native. A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.Asian. A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.Black or African AmericanHispanic or Latino. A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of raceNative Hawaiian or Other Pacific. A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.White. A person having origins in any of the original peoples of Europe, the Middle East, or North AfricaEthnicityHispanic/LatinoNot Hispanic/LatinoPrefer not to sayMailing AddressMailing AddressCountryStreetCityRegionPostal CodeWhen would you like to start Dual Enrollment?FALL 2026SPRING 2026What High School do you attend?North Kansas City High SchoolGuadalupe Centers High SchoolNotre Dame de SionCristo Rey Kansas CitySchool Name (North Kansas City High School)School CEEB (North Kansas City High School)School Name (Guadalupe Centers High School)School CEEB (Guadalupe Centers High School)School Name (Notre Dame de Sion)School CEEB (Notre Dame de Sion)School Name (Cristo Rey Kansas City)School CEEB (Cristo Rey Kansas City)High School Graduation DateHigh School Graduation DateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303120262027202820292030Unofficial TranscriptSelf-Reported (hidden)Self ReportedVerifiedACT Test DateACT Test DateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember12345678910111213141516171819202122232425262728293031202620252024ACT Total ScoreACT ReadingACT MathACT EnglishACT ScienceParent InformationDeleteParent _ID_Parent First NameParent Last NameParent EmailParent PhoneRelationship TypeMotherFatherLegal GuardianAdd another parentSignatureRound2022 SP2022 SU2023 FA2023 SP2023 SUABSNAFFCOUDual CreditENURFRNUGWDHGRHPIGRIGR ReferralIHGRIUGIUG ReferralIUGHKCCDMIA-GRMIA-UGNon DegreeOGROUGOUG-LRSACMSri KrishnaTGRTRNUTUGTUG3AA 2022 AppGR 2022UG 2022AA 2021GR 2021UG 2021Generate PinYesNoProgramAccountingApplied Health Sciences (Certificate)Applied ScienceBiology - Ecology & Environmental ScienceBiology - General BiologyBiology - Pre-Veterinary ScienceBusiness AdministrationCommunication - Advertising and Public RelationsCommunication - Film and Digital MediaCommunication - Sports CommunicationComputer ScienceCriminology & Justice StudiesCybersecurityData Analytics (Certificate)Digital Content Creation (Certificate)Educational StudiesEthical Decision Making (Certificate)FinanceGraphic Design (Certificate)Healthcare AdministrationHealthcare ManagementHigh School Dual EnrollmentHuman ResourcesInternational BusinessKinesiology - General ConcentrationKinesiology - Rehabilitation ScienceKinesiology - Strength & TrainingLiberal Arts Studies - Arts and HumanitiesLiberal Arts Studies - Behavioral & Social SciencesLiberal Arts Studies - Digital Content ManagementLiberal Arts Studies - EnglishLiberal Arts Studies - Natural SciencesManagementMarketingMiddle School Education (Grades 5-9) - Language ArtsMiddle School Education (Grades 5-9) - MathematicsMiddle School Education (Grades 5-9) - ScienceMiddle School Education (Grades 5-9) - Social StudiesNon Degree SeekingNursingPeace & Conflict Resolution (Certificate)Post-Baccalaureate Pre-Medical Studies (Certificate)Professional Health Science - Biomedical ScienceProfessional Health Science - Premedical & Pre-Pharmaceutical StudiesPsychology - General PsychologyPsychology - Mental HealthPsychology - ResearchRadiologic ScienceRN to BSN (Bridge)Social WorkStrategic CommunicationSummer Immersion ProgramTeacher Education - Biology TeacherTeacher Education - Chemistry TeacherTeacher Education - Elementary TeacherTeacher Education - English TeacherTeacher Education - Middle School TeacherTeacher Education - Physical Education TeacherTeacher Education - Social Studies TeacherTeacher Education - Special Education TeacherTeacher Education - Speech Theatre TeacherTeacher Education - Vocal Music TeacherTheatreTheatre - ActingTheatre - Design & TechnologyTheatre - Directing/ProducingTheatre - Musical TheatreUndeclaredWellness StudiesWriting & Rhetoric (Certificate)Application Submitted FlagYesNoStudent TypeAdult UndergraduateCertificate or CertificationEnrichment - Non Degree SeekingFirst-Time FreshmanFirst-Time GraduateGraduate ReadmitGraduate TransferHS - Dual CreditInternational Certificate or CertificationInternational Enrichment - Non Degree SeekingInternational First-Time FreshmenInternational First-Time GraduateInternational Graduate ReadmitInternational Graduate TransferInternational Post-Bacc - Degree SeekingInternational Undergraduate ReadmitInternational Undergraduate to Graduate at AvilaInternational Undergraduate TransferPost Bacc - Degree SeekingUndergraduate ReadmitUndergraduate to Graduate at AvilaUndergraduate TransferSubmit