MSOE Early College Credit Program Application

The Early College Credit Program (ECCP) at MSOE allows students to continue their education beyond what participating high schools have to offer. Students have the options to get an introduction to many different academic programs as well as taking higher level English, math and science courses. ECCP will provide you with a step ahead of others on your path to higher education. Enrollment may be subject to class space limitations. Please note that this application does not act as an application for admission to MSOE.

First Name *

Student Given Name

Last Name *

Student Family Name

Preferred Name *

Email *

Address Line 1 *

Address Line 2

City *

State *

Zip/Postal Code *

Primary Phone *

Primary Phone Country Code

I'd like to receive text and voice messages to this number and I have read the opt-in policy.

Please enter your primary mobile phone number.

Gender: *

Preferred Pronouns *

Date of Birth *

Ethnicity *

Race *

Country of Citizenship *

High School Name *

High School Graduation Year *

Entry Year *

Which calendar year are you planning to enroll?

Parent/Guardian #1 First Name *

Parent/Guardian #1 Last Name *

Parent/Guardian #1 Relationship *

Parent/Guardian #1 Email *

Parent/Guardian 1 Phone Number *

Parent/Guardian 1 Phone Number Country Code

Parent/Guardian #2 First Name

Parent/Guardian #2 Last Name

Parent/Guardian #2 Relationship

Parent/Guardian #2 Email

Parent/Guardian 2 Phone Number

Parent/Guardian 2 Phone Number Country Code

Desired Term for ECCP *

Fall Spring Summer

Are you a returning ECCP student? *

How many courses would you like to register for ECCP? *

One Two More than two

Please select your first choice for preferred course. *

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MSOE Early College Credit Program Application

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