Special Application Request Form

Registrar - Special Application Request

Please complete this form to apply for special undergraduate enrollment at Ball State University, including reenrollment, reinstatement, guest student, high school special, and auditor status.

After submitting this form, the Office of the Registrar will contact you about the next steps.

Items with an * indicate a required field.

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

Contact Information
Street Address *
City *
State *
Zip *
Phone (include area code) *
E-mail Address *

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

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