02_CA/PA FORM FALL/SPRING (Fall 2026) March Release

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Dual Enrollment Office

COURSE APPROVAL FORM

Fall 2026 - Spring 2027

Student Information (MUST match the information on your Jefferson State Application)

First Name:

Last Name:

E-mail:

Date of Birth:

(MM/DD/YYYY)

A-number:

(if known)

High School and Term Information

High School:

Grade Level for Enrollment Term:

Fall 2026 Course Requests

The schedule for classes taught on a Jefferson State Campus is subject to change. We recommend selecting your JSCC Campus classes in late March or early April. Fall registration begins on April 27th.

Do you plan to take dual enrollment classes at Excelsior Co-op?

Yes

I am taking my DUAL ENROLLMENT COLLEGE classes through

Calera High School

CTEC

I am taking my DUAL ENROLLMENT COLLEGE classes through

Chelsea HIgh School

CTEC

I am taking my DUAL ENROLLMENT COLLEGE classes through

Helena High School

CTEC

I am taking my DUAL ENROLLMENT COLLEGE classes through

Montevallo High School

CTEC

I am taking my DUAL ENROLLMENT COLLEGE classes through

Oak Mountain High School

CTEC

I am taking my DUAL ENROLLMENT COLLEGE classes through

Shelby County High School

CTEC

I am taking my DUAL ENROLLMENT COLLEGE classes through

Vincent Middle High School

CTEC

I am taking my DUAL ENROLLMENT COLLEGE classes through

Springville High School

ECTC

I am taking my DUAL ENROLLMENT COLLEGE classes through

St. Clair County High School

ECTC

I am taking my DUAL ENROLLMENT COLLEGE classes through

Moody High School

ECTC

I am taking my DUAL ENROLLMENT COLLEGE classes through

Ragland High School

ECTC

I am taking my DUAL ENROLLMENT COLLEGE classes through

Ashville High School

ECTC

I am taking my DUAL ENROLLMENT COLLEGE classes through

St. Clair County VPA

ECTC

The Course Approval Form for your high school/homeschool will open the first week in March.

Check Each Course You are Requesting to Take at Briarwood Christian School in Fall 2026

BIO 101 - Introduction to Biology I

ENG 101 - English Composition I (This course has a placement requirement)

HIS 201 - US History I

MTH 112 - Precalculus with Algebra (This course has a placement/prerequisite requirement)

SPA 101 - Introductory Spanish I

Check Each Course You are Requesting to Take through Center Point High School in Fall 2026

AST 220 - Introduction to Astronomy (online class)

ENG 101 - English Composition I (at CPHS)

HIS 201 - US History I (at Jefferson Campus)

SPA 101 - Introductory Spanish I (online class)

SPH 106 - Fundamentals of Oral Communication (at Jefferson Campus)

Check Each ONLINE COURSE You are Requesting to Take for Dual Credit for Chelsea High School in Fall 2026.

REMEMBER: College courses last only one semester. Do not select the same course(s) for Fall 2026 and Spring 2027.

Check Each Course You are Requesting to Take through Cornerstone in Fall 2026

ENG 101 - English Composition I

SPH 106 - Fundamentals of Oral Communication

Check Each Course You are Requesting to Take at CTEC in Fall 2026

EMT (Seniors Only)

EMS 118 - Emergency Medical Technician (August - May) & EMS 119 - Emergency Medical Technicial ClinicaI (November - April)

MECHATRONICS

AUT 102 - Lean Manufacturing & Industrial Safety

MET 190 - Mechanical Tools

Check Each Course You are Requesting to Take through Eden Career Tech. in Fall 2026

EMT (Seniors Only) (at ECTC)

EMS 118 - Emergency Medical Technician (August - May) & EMS 119 - Emergency Medical Technicial ClinicaI (November - April)

WELDING

AUT 186 - Principles of Ind. Maint. Welding & Metal Cutting Techniques (at ECTC)

WKO 110 - NCCER Core (at ECTC)

WDT125 - Shielded Metal Arc Welding (at JSCC Pell City Campus)

WDT 219 - Welding Inspection & Testing (at JSCC Pell City Campus)

CRIMINAL JUSTICE

CRJ 147 - Constitutional Law (online class)

CRJ 227 - Homicide Investigation (online class)

CHILD DEVELOPMENT

CHD 100 - Intro. of Early Care & Education of Children (online course)

CHD 202 - Children's Creative Experiences (Online Course)

Check Each Course You are Requesting to Take for Dual Credit for Fultondale High School in Fall 2026.

ENG 102 - English Composition II

HIS 202 - US History II

SPA 101 - Introductory Spanish I

WELDING

First Year Students

AUT 186 - Principles of Ind. Maint. Welding & Metal Cutting Techniques (at JSCC Jefferson Campus)

& WKO 110 - NCCER Core (at JSCC Jefferson Campus)

Second Year Students

WDT125 - Shielded Metal Arc Welding (at JSCC Jefferson Campus)

& WDT 219 - Welding Inspection & Testing Theory (at JSCC Jefferson Campus)

Check Each Course You are Requesting to Take through Gardendale High School in Fall 2026

Check Each Course You are Requesting to Take at Helena High School in Fall 2026

ENG 101 - English Composition I

Check Each Course You are Requesting to Take through Hewitt Trussville High School in Fall 2026.

REMEMBER: College courses last only one semester. Do not select the same course(s) for Fall 2026 and Spring 2027.

Check Each Course You are Requesting to Take at Homewood High School in Fall 2026

MTH 110 - Finite Mathematics

Check Each Course You are Requesting to Take through Hoover High School in Fall 2026.

REMEMBER: College courses last only one semester. Do not select the same course(s) for Fall 2026 and Spring 2027.

Check Each Course You are Requesting to Take through Huffman High School in Fall 2026.

REMEMBER: College courses last only one semester. Do not select the same course(s) for Fall 2026 and Spring 2027.

ENG 101 - English Composition I (online course)

MTH 100 - Intermediate College Algebra (online course)

HED 231 - First Aid (online course)

HIS 201 - US History I (online course)

BIOMEDICAL EQUIPMENT TECHNOLOGY

First Year Students: ELM 200 - Electric Circuits I (Jefferson Campus)

BIOMEDICAL EQUIPMENT TECHNOLOGY

Second Year Students: ELM 201S - Electric Circuits II (online course)

Check If You are Requesting CHM 104 at Leeds High School in Fall 2026

CHM 104 - Introduction to Chemistry I

Placement Requirement: 253 Accuplacer QAS OR

18 ACT Math Sub Score

Check Each Course You are Requesting at Magic City Acceptance Academy in Fall 2026.

ENG 101 - English Composition I

HIS 201 - US History I

Check Each Course You are Requesting to Take at Montevallo High School in Fall 2026

ENG 101 - English Composition I

HIS 201 - US History I

Check Each Course You are Requesting to Take at Moody High School in Fall 2026

ENG 101 - English Composition I

HIS 201 - US History I

SPH 106 - Fundamentals of Oral Communication

Check if you are Requesting Welding Courses Through Mortimer Jordan High School in Fall 2026.

(Other courses can be entered below)

WELDING

First Year Students

AUT 186 - Principles of Ind. Maint. Welding & Metal Cutting Techniques (at JSCC Jefferson Campus)

& WKO 110 - NCCER Core (at JSCC Jefferson Campus)

Second Year Students

WDT125 - Shielded Metal Arc Welding (at JSCC Jefferson Campus)

& WDT 219 - Welding Inspection & Testing Theory (at JSCC Jefferson Campus)

Check Each Course You are Requesting to Take at Mountain Brook High School in Fall 2026

ENG 101 - English Composition I (This course has a placement requirement)

MTH 112 - Precalculus with Algebra (This course has a placement/prerequisite requirement)

MTH 227 - Calculus III (This course has a placement/prerequisite requirement)

Check Each Course You are Requesting to Take for Dual Credit for Oak Mountain High School in Fall 2026.

REMEMBER: College courses last only one semester. Do not select the same course(s) for Fall 2026 and Spring 2027.

Check Each ONLINE COURSE You are Requesting to Take for Dual Credit for Pelham High School in Fall 2026.

REMEMBER: College courses last only one semester. Do not select the same course(s) for Fall 2026 and Spring 2027.

Check Each Course You are Requesting to Take through Pinson Valley High School in Fall 2026.

REMEMBER: College courses last only one semester. Do not select the same course(s) for Fall 2026 and Spring 2027.

Check Each Course You are Requesting to Take through Pleasant Grove High School in Fall 2026.

REMEMBER: College courses last only one semester. Do not select the same course(s) for Fall 2026 and Spring 2027.

Check If You are Requesting ENG 101 at Spain Park High School in Fall 2026

ENG 101 - English Composition I

Check Each Course You are Requesting to Take at Springville High School in Fall 2026

ENG 101 - English Composition I

HIS 201 - US History I

Check Each Course You are Requesting to Take at St.Clair County High School in Fall 2026

ENG 101 - English Composition I

HIS 201 - US History I

Check Each Course You are Requesting to Take through Tabernacle Christian School in Fall 2026

ENG 101 - English Composition I

POL 211 - American National Government

Check Each Course You are Requesting to Take at Vestavia Hills High School in Fall 2026.

Check Each Course You are Requesting to Take at Vincent Middle High School in Fall 2026

BIO 103 - Principles of Biology I

ENG 101 - English Composition I

Placement Requirement: 05 Accuplacer WritePlacer Score OR

18 ACT English Sub Score

I already meet this placement requirement based on my ACT English sub score.

I already took the Accuplacer and meet the placement requirement.

I need to take the Accuplacer.

Check If You are Requesting ART 100 at Woodlawn High School in Fall 2026

ART 100 - Art Appreciation

The classes below are reserved for dual enrollment students (although non-dual students may register if the class is not filled by dual enrollment students).

Select any of these class(es) you plan to take at the Jefferson State Clanton Campus in Fall 2026

Time

Days

Class Option(s)

7:45 - 9:00 a.m.

Monday & Wednesday

7:45 - 9:00 a.m.

Tuesday & Thursday

Do you plan to take a Fall 2026 class that is NOT already selected above?

Yes

Do you plan to take a Fall 2026 class Online or in person on a Jefferson State Campus?

Yes

Online or JSCC Campus Course 1

Course Subject

Campus

Would you like to add a course to your Fall 2026 schedule?

Yes

Online or JSCC Campus Course 2

Course Subject

Campus

Would you like to add a course to your Fall 2026 schedule?

Yes

Online or JSCC Campus Course 3

Course Subject

Campus

Would you like to add a course to your Fall 2026 schedule?

Yes

Online or JSCC Campus Course 4

Course Subject

Campus

Spring 2027 Course Requests

Check Each Course You are Requesting to Take at Briarwood Christian School in Spring 2027

BIO 102 - Introduction to Biology II

ENG 102 - English Composition II (This course has a prerequisite requirement)

HIS 202 - US History II

MTH 113 - Precalculus with Trigonometry (This course has a placement/prerequisite requirement)

SPA 102 - Introductory Spanish II

Check Each Course You are Requesting to Take through Center Point High School in Spring 2027

ENG 102 - English Composition II (at CPHS)

HIS 202 - US History II (at Jefferson Campus)

PSY 200 - General Psychology (at Jefferson Campus)

SPA 102 - Introductory Spanish II (online class)

Check Each ONLINE COURSE You are Requesting to Take for Dual Credit for Chelsea High School in Spring 2027.

REMEMBER: College courses last only one semester. Do not select the same course(s) for Fall 2026 and Spring 2027.

Check Each Course You are Requesting to Take through Cornerstone in Spring 2027

ENG 102 - English Composition II

PSY 200 - General Psychology

Check Each Course You are Requesting to Take at CTEC in Spring 2027

MECHATRONICS

AUT 116 - Introduction to Robotics

ELM 200 - Electric Circuits I

MET 220 - Mechanical Systems I

Check Each Course You are Requesting to Take at Eden Career Tech. in Spring 2027

WELDING

WDT 109 - SMAW/Fillet/PAC/CAC (at ECTC)

WDT 120 - Shielded Metal Arc Welding Groove (at ECTC)

WDT 223 - Blueprint Readhing for Fabrication (at JSCC Pell City Campus)

WDT 229 - Boiler Tube (at JSCC Pell City Campus)

Check Each Course You are Requesting to Take through Gardendale High School in Spring 2027

Check Each Course You are Requesting to Take at Helena High School in Spring 2027

ENG 102 - English Composition II

Check Each Course You are Requesting to Take through Hewitt Trussville High School in Spring 2027.

REMEMBER: College courses last only one semester. Do not select the same course(s) for Fall 2026 and Spring 2027.

Check Each Course You are Requesting to Take through Hoover High School in Spring 2027.

REMEMBER: College courses last only one semester. Do not select the same course(s) for Fall 2026 and Spring 2027.

Check If You are Requesting BIO 101 at Leeds High School in Spring 2027

BIO 101 - Introduction to Biology I

Check Each Course You are Requesting at Magic City Acceptance Academy in Spring 2027

ENG 102 - English Composition II

HIS 201 - US History I

Check Each Course You are Requesting to Take at Montevallo High School in Spring 2027

ENG 102 - English Composition II

HIS 202 - US History II

Check Each Course You are Requesting to Take at Moody High School in Spring 2027

ENG 102 - English Composition II

HIS 202 - US History II

PSY 200 - General Psychology

Check if you are Requesting Welding Courses Through Mortimer Jordan High School in Spring 2027.

(Other courses can be entered below)

WELDING

First Year Students

WDT 109 - SMAW/Fillet/PAC/CAC (at JSCC Jefferson Campus)

& WDT 120 - Shielded Metal Arc Welding Groove (at JSCC Jefferson Campus)

Second Year Students

WDT 119 - Gas Metal Arc/Flux Cored ARC Welding (at Jefferson Campus)

WDT 223 - Blueprint Reading for Fabrication (at Jefferson Campus)

Check Each Course You are Requesting to Take at Mountain Brook High School in Spring 2027

ENG 102 - English Composition II (This course has a prerequisite requirement)

MTH 113 - Precalculus with Trigonometry (This course has a placement/prerequisite requirement)

MTH 237 - Linear Algebra (This course has a placement/prerequisite requirement)

Check Each Course You are Requesting to Take for Dual Credit for Oak Mountain High School in Spring 2027.

REMEMBER: College courses last only one semester. Do not select the same course(s) for Fall 2026 and Spring 2027.

Check Each ONLINE COURSE You are Requesting to Take for Dual Credit for Pelham High School in Spring 2027.

REMEMBER: College courses last only one semester. Do not select the same course(s) for Fall 2026 and Spring 2027.

Check Each Course You are Requesting to Take through Pinson Valley High School in Spring 2027.

REMEMBER: College courses last only one semester. Do not select the same course(s) for Fall 2026 and Spring 2027.

Check Each Course You are Requesting to Take through Pleasant Grove High School in Spring 2027.

REMEMBER: College courses last only one semester. Do not select the same course(s) for Fall 2026 and Spring 2027.

Check If You are Requesting ENG 102 at Spain Park High School in Spring 2027

ENG 102 - English Composition II

Check Each Course You are Requesting to Take at Springville High School in Spring 2027

ENG 102 - English Composition II

HIS 202 - US History II

Check Each Course You are Requesting to Take at St. Clair County High School in Spring 2027

ENG 102 - English Composition II

HIS 202 - US History II

Check Each Course You are Requesting to Take through Tabernacle Christian School in Spring 2027

ENG 102 - English Composition II

SPH 107 - Fundamentals of Public Speaking

Check Each Course You are Requesting to Take at Vestavia Hills High School in Spring 2027.

Check Each Course You are Requesting to Take at Vincent Middle High School in Spring 2027

BIO 104S - Principles of Biology II (This course has a prerequisite requirement)

ENG 102 - English Composition II

Check If You are Requesting ART 100 at Woodlawn High School in Spring 2027

ART 100 - Art Appreciation

The classes below are reserved for dual enrollment students (although non-dual students may register if the class is not filled by dual enrollment students).

Select any of these class(es) you plan to take at the Jefferson State Clanton Campus in Spring 2027.

Time

Days

Class Option(s)

7:45 - 9:00 a.m.

Monday & Wednesday

7:45 - 9:00 a.m.

Tuesday & Thursday

Do you plan to take a Spring 2027 that is NOT already selected above?

Yes

Do you plan to take a Spring 2027 class Online or in person on a Jefferson State Campus?

Yes

Online or JSCC Campus Course 1

Course Subject

Campus

Would you like to add a course to your Spring schedule?

Yes

Online or JSCC Campus Course 2

Course Subject

Campus

Would you like to add a course to your Spring schedule?

Yes

Online or JSCC Campus Course 3

Course Subject

Campus

Important Information Regarding Dual Enrollment Participation

Check each statement to indicate that you have read and understand the information presented.

Release of Records to the Secondary Institution

Check the statement to indicate that you have read and understand the information presented.

As a participant in the Dual Enrollment for Dual Credit program, I understand that it is the responsibility of Jefferson State Community College to release my academic information to my high school and/or secondary educational entity. In signing this form, I authorize the College to release the information noted in this section.

It is the policy of the Alabama Community College System and Jefferson State Community College, a postsecondary institution under its control, that no person shall, on the grounds of race, color, disability, sex, religion, creed, national origin, age, ethnicity, genetic information, marital status, veteran status, pregnancy, sexual orientation, or gender identity/expression be excluded from participation in, be denied benefit of, or be subjected to discrimination under any program, activity, or employment.

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