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:
 
* Date of Birth (00/00/0000):
  
* Address:
 
* City:
 
* State:
 
* Zip:
 
* Phone (000-000-0000):
 
Social Security Number (000-00-0000):
Disclosure of this information is voluntary. Failure to provide a Social Security Number may cause delays in administrative services such as financial aid processing and receiving federal tax information. International Students: Please provide a U.S. Social Security Number if you have been assigned one. If you are entering the U.S. for the first time, please leave this blank.
* 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):
 
* 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
* Program/Degree you are applying for?
Program of Study:
 
Another Program of Study (If applicable only):
* Are you using transfer credits to earn your degree from BSC:

 
If yes,
List all colleges, universities, and schools attended, or currently enrolled, since you last attended Bismarck State College. (Place a comma (,) between listing them):

Do you have any of the following alternative credits?:






Do you have any transfer credits?:

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

Did you visit with a BSC contact prior to completing this form?:

If yes, contact name?:
* 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.):

 
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:
 
Campus Email: (Reverse transfer students may used a preferred email)
Student ID:
Spam Check: 3 + 2 =