Dual Enrollment Opportunity Scholarship Application

Students, please fill out the following form to apply for the Dual Enrollment Opportunity Scholarship. This scholarship is available to students in 11th and 12th grade that live in Tennessee, but do not qualify for the Dual Enrollment Grant due to residency requirements.

Email Address

First Name

Middle Name

Last Name

Birthdate

Student A Number (ChattState ID)

What high school do you attend?

What high school grade level will you be in for the semester that you will be receiving the Dual Enrollment Opportunity Scholarship?

Please check the box to accept this scholarship.

I affirm that I am taking Dual Enrollment courses through Chattanooga State Community College. By checking this acknowledgment, I accept the Dual Enrollment Opportunity Scholarship for this semester.

Today's Date

For questions, please reach out to Kimberly Siefert at kimberly.siefert@chattanoogastate.edu.