DE Application - Doral College

Student Information

Student Email

Local Student ID #

First Name

Middle Name

Last Name

Date of Birth

Student Primary Phone

Student Secondary Phone

Student Alternative Email

Student Suffix

Semester Applying For

Are you interested in receiving information about pursuing a Bachelor's degree with Doral College?

Yes

No

Student Gender

Social Security Number

Citizenship Status

Please select yes or no to indicate whether you would like to receive text messages from Doral College at the phone number listed above. Message and data rates may apply.

Yes

No

Select One or more of the following races:

Hispanic or Latino

American Indian or Alaskan Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

AddressLine1

AddressLine2

City

State

ZipCode

School Information

School

Grade Level

Parental Contact Info

First Name

Last Name

Relationship to Student

Primary Phone

Secondary Phone

Email

Language

Occupation

Acknowledgement

Download Blank Agreement

Supported file type: .pdf
File size should not exceed 20MB. Files larger than 4MB will be uploaded in chunks.

I agree to abide by all policies and procedures of Doral College, including those outlined in the College Catalog & Student Handbook, and Enrollment Agreement as updated which includes but is not limited to the College’s Acceptable Use for Technology Resources Policy, Student Code of Conduct, Student Complaint Policy, and Photo Release Policy.
Yes

Signature

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Use your mouse or finger to draw your signature above

Policy Signature Date*

I understand that Doral College is accredited by the Distance Education Accrediting Commission (DEAC). DEAC is listed by the U.S. Department of Education as a recognized accrediting agency. The Distance Education Accrediting Commission is also recognized by the Council for Higher Education Accreditation (CHEA). Furthermore, I understand that Doral College participates in the Florida Statewide Course Numbering System (SCNS), which facilitates transferability of credit among participating institutions. Ultimately, however, transferability of credit is at the discretion of the accepting institution, and I understand it is my responsibility to confirm whether credits will be accepted. I authorize Doral College to obtain my Florida public school/college/university records and test scores through the use of electronic means, if applicable. I agree to the release of any transcripts and test scores to this institution, including scores from the College Board, ACT, PERT, or other applicable source, for the duration of my enrollment
Yes