Application for Guest Student Status (No Application Fee is Required)

Ball State University, Muncie, Indiana 47306

Objective (Choose one):
	Special Status (workshops only) - Student must supply an official transcript (issued by a university registrar) showing the conferral of the baccalaureate degree (a transcript showing a master's degree or higher can substitute for an undergraduate degree) Transfer of Credit Status (transfer courses to another university) - Student does not need to request an official transcript. Student must submit the Ball State University Transfer of Credit Status Form, signed by the graduate dean of the college or university to which courses will be transferred.
Social Security Number (optional)
	We are requesting your Social Security Number (SSN) to facilitate processing of this form. If you are applying for financial aid, federal law requires that we obtain your SSN in order to process this form. If you are not applying for financial aid, you may refuse to provide us your SSN and you will not be penalized for doing so. However, such refusal may result in delays in matching relevant information, such as standardized test scores and official transcripts, with your application.
Last Name:
First Name:
Middle Initial:
Address:
Street
City
State	Select from listArmed Forces Americas Armed Forces Europe Alaska Alabama Armed Forces Pacific Arkansas Arizona California Colorado Connecticut District Of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Northern Mariana Islands Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming    Zip:
County (only if state is Indiana)	AdamsAllenBartholomewBentonBlackfordBooneBrownCarrollCassClarkClayClintonCrawfordDaviessDearbornDecaturDekalbDelawareDuboisElkhartFayetteFloydFountainFranklinFultonGibsonGrantGreeneHamiltonHancockHarrisonHendricksHenryHowardHuntingtonJacksonJasperJayJeffersonJenningsJohnsonKnoxKosciuskoLagrangeLakeLaPorteLawrenceMadisonMarionMarshallMartinMiamiMonroeMontgomeryMorganNewtonNobleOhioOrangeOwenParkePerryPikePorterPoseyPulaskiPutnamRandolphRipleyRushScottShelbySpencerSt. JosephStarkeSteubenSullivanSwitzerlandTippecanoeTiptonUnionVanderburgVermillionVigoWabashWarrenWarrickWashingtonWayneWellsWhiteWhitley
Home Phone:
E-mail address:
In what state do you claim legal residence? Select from listArmed Forces Americas Armed Forces Europe Alaska Alabama Armed Forces Pacific Arkansas Arizona California Colorado Connecticut District Of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Northern Mariana Islands Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming
Current Employment (if any)
List present position
Location
Start Date
Term and Year to Enroll at Ball State:
Term	Fall Spring Summer
Year	2006 2007 2008
Intended enrollment location On Campus    Off Campus
Name of Baccalaureate Institution
Year Graduated
I understand that:
I am not requesting to take graduate courses that will count toward any degree, licensure or certificate program at Ball State University. I am not admitted to a degree, licensure or certificate program in the Graduate School at Ball State University. If I desire to be considered for admission to any graduate degree, licensure or certificate program at Ball State University, I must submit a complete application and all required application materials (including the appropriate application fee). If I am admitted to a degree graduate program at a subsequent date, that only 9 hours earned as a guest student can be applied to said degree program.
Certification: By entering my name in the signature box below, I hereby certify that the information above is correct and complete; and that I will submit any other information deemed necessary by the Graduate Education Committee and the graduate dean.
Signature
Date