Readmission Application for Degree

This form should be completed by a prior Bismarck State College student who is returning only to complete a degree.

General Information:

  • You must also complete an Application for Degree for the same term.
  • If you are using transfer credits to earn your degree at BSC, you must request an official transcript from the transferring institution to be sent to BSC Admissions, PO BOX 5587, Bismarck, ND 58506-5587
  • This form does not allow you to register for any BSC courses.
You will need to meet the current catalog degree requirements to earn your degree.  Please visit with the degree contact found in the BSC catalog for any questions.

*Indicates Required Field.  Note: Some fields are masked for your security.
 
* First Name:
 
Middle Name:
* Last Name:
 
NDUS Email:  (if still active)
 
Secondary Email:
 
Student ID: (if known)
* Date of Birth (00/00/0000):
  
* Address:
 
* City:
 
* State:
 
* Zip:
 
* Phone (000-000-0000):
 
* Are you a U.S. Citizen?:

 
If not a U.S. Citizen, are you a permanent resident of the U.S.?:

*If yes, provide Alien Registration Number
**If no, please contact the Admissions Office at (701) 224-2625
* Have you been dismissed or suspended from a college or university for disciplinary reasons within the last 5 years? (“Dismissed for disciplinary reasons” means a permanent separation from an institution due to conduct or behavior. “Suspended for disciplinary reasons” means a sanction imposed for disciplinary reasons that results in a student leaving school for a fixed period but not permanently.):

 
* When did you last attend Bismarck State College? (semester and year - ie: Spring 2016):
 
* When do you plan to graduate from Bismarck State College? (semester and year - ie: Spring 2016):
 
Did you visit with a BSC contact prior to completing this form?:

If yes, contact name?:
* Program/Degree you are applying for?
Program of Study:
 
Another Program/Degree (If applicable only):
* Are you using NEW transfer credits to earn your degree from BSC:

 
If yes,
Choose (list) all colleges, universities, and schools attended, or currently enrolled, since you LAST attended Bismarck State College:
If college/university is not listed above, please request these transcripts to be sent to BSC:
BSC Admissions
PO Box 5587
Bismarck, ND 58506

Please list any other colleges: 

Do you have any of the following alternative credits?:






Have you submitted any course substitution/exception for degree requirement forms?:

Comments:
* Signature: I certify to the best of my knowledge that the information on this form is true and complete without evasion or misrepresentation. I understand that if found to be otherwise, it is sufficient cause for rejections or dismissal. By checking this box you have created an electronic signature as legal as your handwritten signature:
 
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