Application for Dual Enrollment

Heidelberg University is a diverse community of learners. Applicants come from a variety of backgrounds and with different interests. The Admission Committee seeks talented and motivated students who will benefit from and contribute to the university experience. Our admission process is highly personalized and we consider the "whole person" as we identify students who would be a good match for Heidelberg. Notifications are generally made within two weeks. Please note, all information submitted on this form and through the admission process will be kept confidential.

Request your high school transcript

Personal Information
Required if applying for US Federal financial aid with the FAFSA form

Providing your social security number (SSN) is voluntary. Your SSN is not used as your student ID number. We request your SSN for compliance with federal and state reporting requirements. Supplying a SSN is necessary for students to qualify for educational tax credits, enables certification of Veterans benefits, and enables the College to provide information to government entities that require SSN, including but not limited to the federal government for financial aid and Tax Relief Act (1997) reporting, immigration and Naturalization Service, and Ohio Board of Regents. We will not disclose your SSN without your consent for any other purpose as allowed by law.

Section 3342.52 of the Ohio Revised Code:If you are a male age 18 through 25, you are required to register for selective service to receive Ohio resident tuition subsidy. The college verifies selective service registration and assesses out-of-state fee charges to non-compliant students. You can register at www.sss.gov or call 1-800-688-6888. State law requires this of public colleges and universities.
Contact Information
Permanent Home Address
Mailing Address
Education Information
 School NameLocation (City, State, ZIP/Postal Code, Country)Phone NumberDates Attended (mm/yy-mm/yy)
High School
High School
PSEO
Tech Prep Name
ACT Information
SAT Information
 School NameLocation (City, State, ZIP/Postal Code, Country)Dates Attended (mm/yy-mm/yy)
School 1
School 2
Family Information
Parent 1
Dr., Mrs., etc
Mailing Address
 School NameDegreeYear
College (if any)
Graduate School (if any)
Parent 2
Dr., Mr., Mrs., etc
Mailing Address
 School NameDegreeYear
College (if any)
Graduate School (if any)
If so, please list their names, their relationship to you, and the year in which they graduated. Also list the name and relationship of any family members who are currently Heidelberg students.
Enrollment Information
Additional Information
 ActivityIntended College ParticipationGrades or Years of ParticipationPostions Held, Honors or Letters Earned
Activity 1
Activity 2
Activity 3
Activity 4
Activity 5
Activity 6
Activity 7
Activity 8
List your co-curricular, community and/or family activities (including work experience) in the order of interest to you.
Other Information
Optional Demographic Information

No information you provide in this section will be used in a discriminatory manner. This information is requested so that we can refer you to financial assistance available to students meeting certain designated criteria.

Other Required Information

By clicking Submit (below), I affirm that the information presented in my application is complete and accurate to the best of my knowledge. I understand that any intentional omission or misrepresentation of information on this form could result in denial of admission or dismissal from the College(s).

I authorize my high school to submit academic and personal information as requested to both Owens Community College and Heidelberg University. I am aware that all transcripts submitted to Heidelberg and Owens Community College in support of my application become the property of the institution(s).

I hereby grant Owens Community College and Heidelberg University permission to share my academic records for the purposes of the dual admission and enrollment program, including this application, transcripts, test scores, and all other relevant documents.

By clicking Submit (below), I affirm that the information presented in my application is complete and accurate to the best of my knowledge. I understand that any intentional omission or misrepresentation of information on this form could result in denial of admission or dismissal from the College(s).

I authorize my high school to submit academic and personal information as requested to both Marion Technical College and Heidelberg University. I am aware that all transcripts submitted to Heidelberg and Marion Technical College in support of my application become the property of the institution(s).

I hereby grant Marion Technical College and Heidelberg University permission to share my academic records for the purposes of the dual admission and enrollment program, including this application, transcripts, test scores, and all other relevant documents.

By clicking Submit (below), I affirm that the information presented in my application is complete and accurate to the best of my knowledge. I understand that any intentional omission or misrepresentation of information on this form could result in denial of admission or dismissal from the College(s).

I authorize my high school to submit academic and personal information as requested to both Terra Community College and Heidelberg University. I am aware that all transcripts submitted to Heidelberg and Terra in support of my application become the property of the institution(s).

I hereby grant Terra Community College and Heidelberg University permission to share my academic records for the purposes of the dual admission and enrollment program, including this application, transcripts, test scores, and all other relevant documents.

By clicking Submit (below), I affirm that the information presented in my application is complete and accurate to the best of my knowledge. I understand that any intentional omission or misrepresentation of information on this form could result in denial of admission or dismissal from the College(s).

I authorize my high school to submit academic and personal information as requested to both North Central State Community College and Heidelberg University. I am aware that all transcripts submitted to Heidelberg and North Central State in support of my application become the property of the institution(s).

I hereby grant North Central State Community College and Heidelberg University permission to share my academic records for the purposes of the dual admission and enrollment program, including this application, transcripts, test scores, and all other relevant documents.