Concurrent Enrollment Application

Admission Requirements

High School students who desire to complete courses for PNW credit are required to meet the same academic standards as all other PNW students who are admitted to the university as non-degree students. Students who have completed a minimum of (4) semester of high school will be considered eligible for admission provided they meet TWO of the following THREE criteria:

Rank in the upper on-half of class.
A cumulative grade point average of 3.0 or greater (on a 4.0 scale) or a five subject grade point average of 3.0 or greater.
SAT two-score composite 1030 or ACT combined score of 21.

Click here for additional information about our Concurrent Enrollment Program

Biographical Information

First Name

Middle Name

Last Name

Birthdate

Legal Sex

Female

Male

Other Gender Identity

Preferred Pronouns (optional)

Other Preferred Pronoun

Providing your Social Security Number is optional.
Please only type in numerical characters with no spaces or dashes.

Social Security Number

Enrollment Term

When are you planning to enroll?

Fall 2023

This term begins August 2023.

Race/Ethnicity

Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions.

Ethnicity: 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:

Contact Information

Personal Email Address
(DO NOT use your high school issued email address)

Please enter your full street address below including house number.
Example:
Street: 123 Main Street
City: Hometown
State: Indiana
Postal Code: 12345

Mailing Address

Country

Street

City

Region

Postal Code

Phone Number

Cell Phone

I give my permission to receive text messages from Purdue Northwest

Yes

No

DeleteParent/Guardian _ID_
Person's Relationship to You First Name Last Name E-mail Address Phone Number

add additional parent/guardian

High School Information

Expected High School Graduation Date

High School Name (type at least 2 letters to search)

CEEB Code

Are you a current recipient of Free or Reduced Lunch?

Yes

No

Parent/Guardian Approval

This section must be completed by your parent or guardian.

Disability Information

Students with disabilities have the right to access any program offered by the school district as long as they meet all of the same eligibility requirements and prerequisites for enrollment. Students with disabilities are held to the same financial obligations, academic performance expectations, and consequences for both success and failure as all other students.

Privacy Information

Purdue University complies with the Family Educational Rights and Privacy Act of 1974 (FERPA), as amended, the federal law that protects the privacy of Education Records of Students. As such, Education Records and Personally Identifiable Information will be released only with the signed consent of the Student, except in those instances outlined in Section A of the Procedures.

Payment

Payment of Fees/Promise to Pay. As the parent, I understand that when my child registers for any class at the University, I accept full responsibility to pay all tuition and fees as a result of my child's registration and/or receipt of services. I further understand that his/her failure to attend class or receive a bill does not absolve my financial responsibility agreed to herein.

Approval & Signature

This section must be completed by your parent or guardian

Upon submission of this application, I agree to the following:

I approve my student to be enrolled in their selected courses at Purdue University northwest.

I agree to abide by the policies, rules and regulations of Purdue University Northwest including all financial obligations incurred if/when my student registers for classes.

Parents and Guardians please type your full legal name as your signature to confirm agreement to terms above.

Student Signature and Application Submission

By submitting my online application:

I certify that the information I have provided on this application is accurate, true and complete.
I agree to abide by the policies, rules and regulations of Purdue University Northwest.
I authorize my high school to furnish all academic and personal information requested by the Office of Concurrent Enrollment.
I authorize Purdue University Northwest to report my academic progress to my high school.
I understand that my enrollment will be limited to courses approved by Purdue University Northwest academic advisors.

Student, in place of your signature, please type your full legal name.

Date