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

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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:

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

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 mid-March.

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

Yes

I am taking my DUAL ENROLLMENT COLLEGE classes through

Oak Mountain 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

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 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 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 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)

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 at Pell City High School in Fall 2026

ENG 101 - English Composition I

MTH 100 - Intermediate College Algebra

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 2025

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

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 at Vincent Middle High School in Fall 2026

BIO 103 - Principles of Biology I

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

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.

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

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 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 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)

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 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 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

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 3

Course Subject

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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