ADMISSIONS: Concurrent Enrollment Form - Domestic

If you are a currently enrolled, degree-seeking University of Illinois student interested in taking courses at Parkland College, you must follow the procedures detailed below for Concurrent Enrollment.

Complete a Parkland College application as a non-degree seeking student:
If you have enrolled in a course previously at Parkland skip to step 2. You do not need to resubmit an application, you only need to submit this completed form and your Academic History.

> Parkland Application
You must submit all required documents and be admitted to Parkland prior to registration.
Applying for financial aid?
Students wishing to apply for financial aid toward Parkland courses MUST also complete the Office of Student Financial Aid Concurrent Enrollment Agreement.
> Financial Aid Concurrent Enrollment Agreement

Note: Parkland’s tuition must be paid by the posted deadline regardless of financial aid disbursement.

Note: If you are applying for financial aid, the OSFA Concurrent Enrollment Agreement requires an advisor’s/ARO’s/assistant dean’s signature, so you should bring this form with you for your meeting with your college’s designated appropriate point of contact.
Check course prerequisites:
Prerequisite information is available in the Parkland College Catalog.

Note: It is ultimately your responsibility to ensure you have met any and all listed prerequisites. Click to verify course equivalences.
Contact college office:
Contact your academic advisor or appropriate designee* prior to enrolling at Parkland to discuss how the class(es) impact your total credit hour enrollment for the term and how they fit into your degree program.

Note: It is ultimately your responsibility to ensure the course(s) in which you plan to enroll are applicable towards your current or intended degree program. Verify course equivalences at www.transferology.com

*Consult your college office for information on the appropriate point of contact. This contact may be your academic advisor, admissions and records officer, or an assistant dean depending on your college.
Access Academic History:
Log in to Student Self-Service to access your Academic History. Parkland College admissions’ office will review your academic history on course prerequisites and to verify you meet eligibility requirements for concurrent enrollment status. You must submit the Academic History as a PDF with this form to register at Parkland. Failure to send the Academic History will result in your Concurrent Enrollment form to not be processed.
Complete this concurrent enrollment form:
Complete and submit this form along with your Academic History. You may also submit all documentation by fax to 217/353-2640. A confirmation email will be sent to the email provided once your registration is complete.
Tuition:
All domestic students approved for concurrent enrollment will be charged the in-district Parkland College tuition rate. Tuition must be paid by the posted deadline regardless of payment method.
Requesting Parkland transcripts:
It is your responsibility to have an official transcript sent from Parkland College to the University of Illinois at Urbana-Champaign within two weeks after completion of the term of enrollment.
> Parkland transcript information Note: There is a nominal fee per transcript order.

Documentation for summer and fall semester is accepted starting April 1 and spring semester is November 1.

This form with your academic history must be submitted together by one of the following methods:

Submit online now by clicking the Submit Form button below.
Faxed to 217/353-2640
In person at Parkland’s Admissions office in U214.

Semester and year I plan to enroll at Parkland College:

Check only one semester.

Semester

Fall Spring Summer

Year

Please list the course name, number, and section you would like to register for (e.g., SOC 101 and W002).
Registration will not be completed unless a section number is provided.

Course Name, Number

Section

Semester Hours

UIUC Course Equivalent

Student's Name

Date of Birth

Phone Number

Please upload your Academic History

(Must be a PDF less than 5mb)

I have read and completed these steps.

I understand and agree it is my responsibility to ensure I satisfy the appropriate prerequisites for the course(s) in which I plan to enroll and to ensure the course(s) transfer to the University of Illinois at Urbana-Champaign towards my degree as I intend.

I am enrolled in at least the same number of credit hours at the University of Illinois as I wish to register at Parkland.

Once enrolled at Parkland, I agree to abide by Parkland College’s admission and registration rules and procedures, including adherence to course drop and refund deadlines, noting that these dates and deadlines may differ from University of Illinois academic dates and deadlines.

I understand that requests to drop classes after the deadline will not be approved.

Date: