According to a Pennsylvania Department of Education study released in January 2009, 45% of Middletown Area School District graduates required remediation in mathematics and or reading before they were prepared to take college level courses in the Pennsylvania State System of Higher Education or community colleges. Less than 66% of Pennsylvania high school graduates, who enroll in a four-year college in Pennsylvania, will earn a bachelor's degree within six years. Among Pennsylvania high school graduates pursuing an associate degree, only one in three graduate in three years. Per the Pennsylvania Department of Education, one in three recent high school graduates who attend Pennsylvania's public universities and community colleges takes at least one remedial course in math, reading or English. In 2014, Middletown Area High School offered 7 Advanced Placement (AP) courses at a higher cost than regular courses. The fee for each AP Exam was $91 (2014). The school normally retains $9 of that fee as a rebate to help with administrative costs. In 2012, the fee was $89 per test per pupil. Students have the option of taking College Board approved courses and then taking the College Board's examination in the Spring. Students, who achieve a 3 or better on the exam, may be awarded college credits at US universities and colleges. Each higher education institution sets its own standards about what level of credits are awarded to a student based on their AP exam score. Most higher education give credits for scores of 4 or 5. Some schools also give credits for scores of 3. High schools give credits towards graduation to students who take the school's AP class. At Middletown Area High School only 17.5% of students who took an AP course earned a 3 or better on the exam. In 2015, Middletown Area High School offered 12 AP courses, however just 20% of pupils who took the course earning a 3 or better on the College Board's associated AP exam. Middletown Area Middle School is located at 215 Oberlin Road, Middletown. In 2015, enrollment was 526 pupils, in grades 6th through 8th, with 51% of pupils eligible for a free lunch due to family poverty. Additionally, 17.6% of pupils received special education services, while 3% of pupils were identified as gifted. According to a 2014 report by the Pennsylvania Department of Education, 100% of its teachers were rated "Highly Qualified" under No Child Left Behind. In 2013, the school's enrollment declined to 528 pupils, in grades 6th through 8th, with 44.7% of pupils eligible for a free lunch due to family poverty.