Quincy University Dual Credit Application
Please fill out the Registration Info and Contact tabs and submit the form on the Finish tab.
You will be asked your Social Security number for 1098T tax from purposes only. This question is not required. Just so you know if you chose not to include it you will not be able to claim the tuition on your taxes.
After filling in the form, we will need to process it. You will be notified by the email your Quincy University username and password to the address you provide on this form.
Which high school will you attend?
What year are you expecting to graduate from your high school?
Race (Choose one or more)
Address Line 1
Address Line 2
Cell Phone Number
Home Phone Number
This will be the email address we will be sending your new QU username and password to.
Confirm Email Address
Thank you for filling in your information on our Dual Enrollment form!
Please, click the SUBMIT button to submit the form.