To complete the Dual Credit Enrollment Form, you must have a current application on file. 

For more information about Dual Credit at Mineral Area College, please follow this link (Insert Dual Credit information link here)

Candidacy Status:

MAC ID:

First Name:

Last Name:

                              COURSE SELECTION                              

High School:

Course Selection:

Courses Selected:

                          PAYMENT INFORMATION                          

Dual Credit tuition is $58 per credit hour. The last day to drop a course and receive a "W" for Fall classes is June 18th.

Billing Statements will be available in June and can be found in MyMAC > My Account Info.

NO REFUNDS OF TUITION WILL BE ISSUED ONCE THIS FORM IS SUBMITTED, EVEN IF THE STUDENT DROPS THE COURSE.

Payment Options

• In person at the MAC Business Office during normal business hours using Cash, Check, Money Order or Debit/Credit Card
• Over the phone during normal business hours using Debit/Credit Card by calling 573-518-2115
• Online using MyMAC: Log in, select "My Account Info", on the right, choose "My Account Balances", then "Make A Payment"

FOR DEPENDENTS OF MAC EMPLOYEES

A tuition waiver form must be submitted and approved prior to enrollment. Employee can access the tuition waiver form in MyMAC or by contacting their supervisor. If you are a dependent of a MAC employee, please provide their name in the box below:

MAC Employee Name:

                      ACCESS TO STUDENT RECORDS                     

A copy of this Dual Credit Enrollment Form will be sent to the parent/guardian listed below for review and approval.

Under FERPA, the Family Rights and Privacy Act of 1974 as amended, at the post secondary level, parents have no inherent right to access their child's education records without written consent of the student. This access will remain in effect until the student requests to remove such access to records, in writing, to the Registrar's Office. Changes to persons authorized to access your education records can be made at any time in writing to the Registrar's Office.

By checking this box, I grant access to my education records to:

First and Last Name of Authorized Person:

Email Address of Authorized Person:

Relationship to student:

                    REQUIRED STUDENT SIGNATURE                   

Please enter your full name (first, middle, and last name) in the signature box below. Entering your full name below constitutes an electronic signature affirming the following:

By signing this document I understand taking dual credit course(s) that I, the student, am responsible for course participation and completion of course work as assigned--even if my high school implements alternative methods of instruction (AMI).

Signature:

Date:

Tuition balances owed after May 16 may be subject to legal action upon high school graduation. Graduating students with outstanding balance(s) may be forwarded to a collection agency. A hold will be placed on the account and will remain until payment is received in full. This hold prevents the student from being able to obtain any services related to registering, adding classes, or obtaining grades/transcripts. By signing this form, student accepts full financial obligation for all current and future charges to their account.

Mineral Area College does not discriminate on the basis of race, color, national origin, gender, gender identity, disability, age, religion, creed, genetic and family medical history as defined by GINA, or marital or parental status. For more information, call the Title VI, IX, Sec. 504 and ADA coordinator at (573)431-4593 or U.S. Dept. of Education, Office of Civil Rights. If you have special needs as addressed by the Americans with Disabilities Act and need this pubication in an alternative format, notify the ACCESS director at (573)518-2152 or Mineral Area College, P.O. Box 1000, Park Hills, MO 63601. Reasonable efforts will be made to accommodate your special needs. Deaf or speech impaired callers please use Relay Missouri 1-800-735-2966.

Candidacy Stage:

HighSchoolSelected