Course Interest Form - Dual Enrollment

Thank you for your interest in dual enrollment at Gardner-Webb University. Once you are accepted into the Dual Enrollment program, use the form below to make your specific course request(s). Be sure and view course descriptions to ensure you are qualified to take the course. If unsure, contact the Dual Enrollment Advisor, Dr. Robert Prickett, rprickett@gardner-webb.edu.

Once your request is received and program acceptance confirmed, you will receive further direction on how to proceed with registration. This may take 5-7 business days. DO NOT enroll in any courses until you receive approval from the dual enrollment office.

Your Information:
Name:
Student ID:

Email address

Which term are you requesting courses? (ex. Spring 2026, Fall 2026, etc.)

First course in which you would like to enroll:

Course Subject (e.g., MATH)

Course Number (e.g., 150)

Course Section (e.g., A)

CRN (e.g., 12345)

Second course in which you would like to enroll (if applicable):

Course Subject (e.g., MATH)

Course Number (e.g., 150)

Course Section (e.g., A)

CRN (e.g., 12345)

Third course in which you would like to enroll (if applicable):

Course Subject (e.g., MATH)

Course Number (e.g., 150)

Course Section (e.g., A)

CRN (e.g., 12345)

Comments/Questions: