Special Application Request Form

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Registrar - Special Undergraduate Application Request

PLEASE READ all information carefully before completing this form to ensure that your application gets processed correctly. This application is for special undergraduate enrollment at Ball State University for the following areas:

Reenrollment: If you previously attended Ball State as a degree-seeking undergraduate student after high school or have become inactive due to inactivity.
Reinstatement: If you previously attended Ball State as a degree-seeking undergraduate student and were academically dismissed.
Guest Student: If you are enrolled at another college or university and want to take Ball State courses for credit to transfer back to your institution.
Audit Student: A student that wishes to sit in on a class for no academic grade or credit and will not be taking any courses for credit.
Non-Degree: If you wish to enroll for courses and not pursue a degree.
Second Bachelor Degree: If you currently hold a bachelor’s degree from Ball State and wish to pursue an additional undergraduate degree.
High School Special:
- If you just graduated high school and wish to attend Ball State as an incoming freshman, please complete the “first time freshman and transfer students” application at http://cms.bsu.edu/admissions/undergraduateadmissions/applynow.
- Dual Credit courses through your high school please e-mail dualcredit@bsu.edu or call 765-285-1581 or 1-800-872-0369. Do not complete this application.
- If you attend high school and would like to come to Ball State’s main campus for early college credit. Please complete this application.

NOTE: Applications are term specific, if you do not attend for the term specified you must reapply. If early admittance is requested after a final decision has been made on your application, a new application must be submitted and delays could occur. All courses that you have registered for must be dropped before the new application can be processed.

If you are eligible and interested in financial aid, you will be required to provide your Social Security number to the Office of Scholarships and Financial Aid. Please call 765-285-5600 for more information.

Items with an * indicate a required field.

Personal Information
First Name *
Middle Name *
Last Name *
Suffix
Former Name
Date of Birth *
Gender
Citizenship *

Contact Information
Street Address *
City *
State *
Zip *
Phone (include area code) *
E-mail Address *
Note: All correspondence will be sent to your Ball State email. If you do not remember your Ball State email account, please call 765-285-1517. If you have never attended Ball State, we will send the first correspondence to the email you provide here.

Application Information
Application Type *
Term for which you are applying *

Have you attended Ball State in the past? *	Yes No
If yes above, when did you last attend Ball State (term and year)?
If yes above, did you earn an Undergrad Bachelor Degree from Ball State?	Yes No

If returning to Ball State, have you attended another institution since leaving?	Yes No
If yes above, what institution(s) did you attend?
Institution city
Institution state

Are you applying to attend Ball State for the WPP course only?	Yes No
If yes above, what term are you requesting?

Housing Needs *

Have you ever been convicted of a felony? *	Yes No
Note: Applicants who answer yes to the felony question will not be denied admission based solely on their admittance of conviction. In addition to complying with federal safety requirements, Ball State is committed to maintaining a healthy and safe campus environment that supports and protects students in their quest for educational and personal achievement.

ONLINE /DISTANCE EDUCATION

An online student is defined as a student that will register for courses through Ball State that are only offered in an online (synchronous/asynchronous) format. These students will not be taking courses live on main-campus or other university locations.
Do you plan to take only online courses?	Yes No
Have you ever completed an online course from Ball State?	Yes No
Were you previously an entirely online student at Ball State?	Yes No
The entirety of the Ball State course catalog is not offered online. A returning student desiring to complete their degree/certificate entirely online should review the online course listings through the Division of Online and Distance Education’s website located at www.bsu.edu/Distance

Parent/Guardian/Spouse Information 1
Name *
Relationship *
Street Address *
City *
State *
Zip *

Parent/Guardian/Spouse Information 2
Name
Relationship
Street Address
City
State
Zip

Ball State University practices equal opportunity in education and employment and is strongly and actively committed to diversity within its community.

This form must be completed in its entirety for review.