BSC/CWA Academic Information Request

cwalogo.jpg Welcome CWA Members to Bismarck State College!

We are glad you're interested in how Bismarck State College can help you reach beyond to the life you imagine. BSC's online offerings include courses that lead to a Program Certificate or an Associate in Applied Science degree.

Please answer the following questions to help us customize your experience with BSC.

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To ensure the timely processing of your form, please enter all of the necessary information.
* First Name:
 
Middle Initial:
* Last Name:
 
* Address Line 1:
 
Address Line 2:
* City:
 
* State:
 
* Country:
 
* Zip Code:
 
* Date of Birth (00/00/0000):
 
* Preferred Phone Type:
 
* Phone Number (area code):
 
* Email:
 
* Confirm Email Address:
 
Gender:
Ethnicity:
* Academic Interest
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* When would you be interested in starting? (Term)
 :


 
Name of Employer:
Job Title:
Union Affiliate:
Local Number:
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