CSU Pueblo On-Campus Concurrent Application

We are delighted you have chosen to take advantage of the On-Campus Concurrent Enrollment program offered through your high school. Through Concurrent Enrollment, you can take on-campus CSU Pueblo classes to earn both college and high school credit which will significantly reduce the cost and time to complete your college degree after high school graduation!

Remember, enrollment in this program requires approval through your high school and school district (if applicable) and each school/district sets its own rules regarding program eligibility, how many courses in which students may enroll, and what expenses will be covered by the school/district.

Steps to Register for CSU Pueblo On-Campus Concurrent Enrollment

Speak to your high school counselor about becoming a Concurrent Enrollment student as each school has a different Concurrent Enrollment process and eligibility requirements.
Apply for the College Opportunity Fund (COF) via this link. All Concurrent Enrollment students must apply for COF, covering Colorado students' state portion of college tuition. Students who fail to apply for COF or do not resolve their COF errors before the end of the semester will be held financially liable for the state portion of tuition on their bill.
Fill out this form. DO NOT fill out a CSU Pueblo Admissions application.
A CSU Pueblo High School Programs staff member will contact you for academic advising to complete the registration process. The registration process may take up to 48 hours.

You are responsible for obtaining your parent/guardian and high school counselor signatures before registration can be finalized.

For help, contact the High School Programs office at 719-549-2734 or by email at highschoolprograms@csupueblo.edu

PERSONAL INFORMATION

First Name

Middle Name

Last Name

Preferred First Name

Birthdate

Legal Sex

CONTACT INFORMATION

Mailing Addres

Country

Street

City

Region

Postal Code

Email

Mobile Phone Number

Social Security Number

ACADEMIC INFORMATION

High School

Anticipated High School Graduation

Registration Term

HS Selection - set to School Name (Hidden/accessible through script)

CEEB (Hidden/accessible through script)

Level of Study (Hidden/accessible through script)

DEMOGRAPHIC INFORMATION

Are you Hispanic/Latino (includes Chicano, Cuban, Puerto Rican, Mexican American)

Yes

No

Primary Citizenship

PARENT/GUARDIAN INFORMATION

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Phone

Parent/Guardian Relationship to You

BACKGROUND INFORMATION

Please indicate if any of the following apply:

Are there any pending criminal charges against you?
Do you have any prior convictions for stalking, sexual assault and/or domestic violence OR prior disciplinary history at another academic institution (including pending disciplinary proceedings) for stalking, sexual assault and/or domestic violence?*
Have you had any convictions within the past five years before submitting this application for assault, kidnapping, voluntary manslaughter or murder?

*A conviction by a jury verdict or by entry of a verdict or acceptance of a guilty plea or a plea of nolo contendere by a court. Conviction does not include a plea to a deferred judgment and sentence until the deferred judgment and sentence is revoked.

Yes

No

Please provide an explanation to help us review your application. You are not required to disclose any information contained in sealed records and you have the right to appeal any decision based on prior conduct or convictions.

I understand and agree that if at any time after submitting this application, I am arrested and charged with any crime, OR if I am convicted* of stalking, sexual assault, domestic violence, assault, kidnapping, voluntary manslaughter or murder, OR I am found responsible for stalking, sexual assault, or domestic violence (or disciplinary proceedings are initiated for stalking, sexual assault, or domestic violence) by any school or educational institution of any type, whether public or private, then I am required to disclose any and all such information in writing to the Director of Admissions at the Colorado State University Pueblo or, once I have enrolled at CSU Pueblo, to the Director of Student Conduct. I also understand and agree that such information may result in the delay, rejection, or revocation of admission to, or loss of credit or dismissal from Colorado State University Pueblo.

The University can only inquire about specific criminal history during the admission process. However, certain programs may have criteria that may preclude you from completing coursework and/or obtaining licensure in your field based on criminal history not inquired about on this application. For example, the University cannot inquire about drug convictions on your application; however, a drug conviction may prevent you from obtaining licensure in some fields. Please contact the academic department and/or the state licensing board to determine if your criminal history may prevent you from completing coursework or obtaining licensure.

I understand and agree with the statements above

ACKNOWLEDGEMENT AND ELECTRONIC SIGNATURE

I acknowledge that typing my name below, I accept it to be the legal equivalent of my manual/handwritten signature on this form.

Please type your name into the box below as your digital signature.