Birmingham – Homeschool Dual Enrollment Application

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Student Information

Name(Required)
Address
MM slash DD slash YYYY
Please enter a number from 0 to 120.

Family Information

Parent / Guardian Name(Required)
Parent / Guardian Address(Required)
Name(Required)
Address

Additional Information

Agreement

If accepted to Faulkner, I agree to abide by the moral and educational standards of Faulkner University as defined in the University catalog and student handbook. Specifically, I acknowledge that, if admitted as a student at Faulkner University, I am expected to abide by standards of conduct consistent with Biblical principles. These standards include, but may not be limited to, refraining from inappropriate dress, the use of alcohol, drugs, tobacco, and tobacco products, the use of weapons, vulgar and abusive language, inappropriate interpersonal relationships, and the use of any media that may be detrimental to my spiritual and moral development.(Required)
I certify that all information provided by me related to my admission to Faulkner University is true, complete, and accurate. I give Faulkner University my permission to verify any and all information related to my admission, including the information contained in this application. I agree to release copies of U.S. and/or state tax returns upon request. I will also notify the Financial Aid Office of any significant changes. Furthermore, I certify that I am not delinquent on any federal debt.(Required)