KCC Dual Credit App

About You

This application will take approximately 10 minutes to complete. You will need your email address, your parent or guardian's email address, and your phone number. 
Names & Demographics
Ethnicity & Race
To comply with federal statistical reporting requirements, Klamath Community College must seek to identify the racial and ethnic background of applicants. You are encouraged to to supply this information, but your application will be given the same consideration whether or not you do so.

Contact Information

For Military personnel, base this on your home of record
Phone & Email
10 digits. NO Country code, spaces, or special characters.
example:, or

Course Information

Hidden fields

Student/Parent Acknowledgement & Signature

Both you and your parent/guardian are required to sign your acknowledgment of the statements below.  Please enter your parent/guardian's full name and their email below. When you submit the form, you'll provide your full name and email to verify your signature. Once you have completed this step, your parent/guardian will receive an email to sign off on your submission.

I hereby certify that I have provided complete and accurate information on this form, and I understand that if it is found to be otherwise, it is sufficient cause for rejection or dismissal. In addition: (1) I am aware that not all colleges and universities accept dual credit coursework, (2) I understand that KCC adheres to FERPA guidelines and may release directory information, and (3) I acknowledge that I understand the grading system and drop/withdraw deadlines.
Grades may impact your High School GPA. Grades earned for dual credit courses are recorded on your Klamath Community College transcript and are subject to our Standards of Satisfactory Academic Progress. Please see website for more detail: Policy
Title IX

Klamath Community College is committed to creating a learning and working environment that ensures equal access and opportunity to education and resources for all of its students, free of bias, discrimination, and Course Info harassment. For details, resources, and reporting options, refer to website: https: //
Parent/Guardian Information