Dual Enrollment Registration Form

Thank you for your interest in taking a Dual Enrollment course at Westfield State University!

Please complete this Dual Enrollment Registration form fully. Once submitted, the program coordinator will reach out for additional information, and to update you on the progress of your registration.

If you have any questions during the process, don’t hesitate to reach out—we’re here to help!

Before completing this form, please let us know if you have previously enrolled in a dual enrollment course at Westfield State University.

Westfield State Student ID #
(ex. A12345678):

Student Information

First Name

Preferred Name

Middle Name or Middle Initial

Last Name

Birthdate

Email Address

High School Information

School Name

School CEEB Code

Expected year of graduation

Current grade while taking this course(s)

Freshman

Sophomore

Junior

Senior

School Counselor First Name

School Counselor Last Name

School Counselor Email

Course Selection

Click here to view the Summer I course offerings

Academic Term

Fall Semester

Spring Semester

Summer I

Summer II (CDEP funding not available for this term)

Example: ECON 0101 / 501 / (11090) / Online or MW 1:40-3:55/ CR: 3.0

Please fill in your course information you have been approved to take for your selected academic term. If you are not sure what course you have been approved to take, please reach out to dualenrollment@westfield.ma.edu.

Course Subject and Number

Section #

CRN (5 digits)

Day(s) and Time

# of Credits

Cost and Payment Information

Please read:

WSU does not mail bills. The billing statement is available on the myWestfield portal account. Only checks drawn on U.S. banks are accepted.

Dual Enrollment courses are charged at the High School Scholar rate. This rate includes waiving tuition and fees; a $85 discount is applied per credit. This will make the course costs as follows:
3-credit course $882
4-credit course $1,176

Students will be informed of their CDEP grant funding coverage after the application deadline. CDEP grant coverage is not always guaranteed.

Student Type Information

Student Signature

Click to Sign...