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School of Extended Education
Ball State University
Carmichael Hall
Muncie, IN 47306
1-800-872-0369
Phone: 765-285-1581
Fax: 765-285-7161
distance@bsu.edu
Undergraduate Admission Application
School of Extended Education (SEE)
Independent Learning, Internet, Off-Campus, and Televised Courses
General Information
This application is for
off-campus
, undergraduate students only. It can only be used for taking off-campus classes. The application, application fee, and official transcripts must be received and processed before you can register for a class. A $25 non-refundable application fee must be submitted for every status except re-enroll. Checks should be made payable to Ball State University and mailed to the appropriate address listed at the end of this application. Or the fee can be paid via credit card at
www.bsu.edu/distance
. Please allow 4 weeks to process your admission materials. If transcripts arrive sooner, your application may be processed sooner. Incomplete admission materials are only held six months. After that time, students must re-submit materials.
Are you an On-campus or Off-campus Student?
If you are currently enrolled on-campus at BSU, you do not need this application. You can skip the application step and go directly to the course registration process. If you apply through
off-campus
admissions (SEE), you can only take
off-campus
classes. If you apply through
on-campus
admissions (main campus), you can take BOTH
on- and off-campus
classes.
Traditional Age Students and Students Planning to Take On-Campus Classes
Traditional age students under the age of 23 and living in the state of Indiana must submit an on-campus application unless you are re-enrolling, applying as a guest, or applying for the Fast Track program. Any student planning to take on-campus classes must apply through main admissions. For an on-campus application, call 1-800-482-4278 or go online at
www.bsu.edu
.
Graduate Students
If you hold a bachelors degree and plan to take graduate classes, you must fill out a graduate application. The graduate application can be found at
www.bsu.edu/gradschool
. The only exceptions are, if you are taking undergraduate
off-campus
courses, or seeking a 2nd undergraduate off-campus degree.
Disability Statement
The Office of Disabled Student Development (DSD) coordinates the university?s efforts to accommodate students with disabilities. If you would like to discuss disability-related accommodations, contact DSD at 765-285-5293 (phone); 765-285-2206 (TDD);
dsd@bsu.edu
; or visit DSD?s Web site at
www.bsu.edu/dsd
.
Required fields are marked with an *.
Application Type*
Please select application type:
Regular
(Requires a $25 application fee and all transcripts.)
Students who intend to work toward a degree, even if they have not decided upon a specific major, may apply as regular students.
Official transcripts from your high school (or GED scores) and any educational institutions attended since high school must be requested at the time this application is submitted. High school transcripts are only waived if you have earned an associates degree.
Re-Enrollment
(No fee required but need transcripts from any school attended since BSU.)
A re-enrollment application is to be completed by any undergraduate student who is inactive at Ball State University. Any student who was academically disqualified at BSU must contact the Office of Registration and Academic Progress at (765) 285-1722 for a reinstatement application.
An official transcript will be required from any institution attended since leaving BSU.
Guest
(Requires $25 application fee and verification of good academic standing.)
A student currently enrolled in another post-secondary institution, must apply as a guest student.
Your current institution must submit an official transcript that indicates that you are currently in good academic standing, or complete the verification box in the ?For Guest Students Only? section of this application.
Re-Application
(Requires $25 application fee and official transcripts if record is no longer on file).
Any student who has previously applied to BSU but never attended, was denied, or postponed their admission to the university, is considered a re-applicant. A ?regular? application, application fee, and official transcripts will be required if materials are no longer on file.
Second Undergraduate Degree
(Requires $25 application fee and all transcripts.)
Status is for any student seeking a second undergraduate degree or licensure UNRELATED to their current degree.
High School Special
(Requires $25 application fee except CTP students on free and reduced lunches.)
If you are NOT a participant of the College Transition Program (CTP), you may be asked for a letter of recommendation from your high school principal or guidance counselor.
Non-Degree
(Requires $25 application fee and official high school transcript or GED scores.)
A student who wishes to enroll for personal and professional development rather than in pursuit of a degree may apply as non-degree student, provided you are not currently enrolled in another institution or planning to take graduate level courses.
Please note: Financial aid is not available to non-degree students. The maximum number of semester credits that non-degree students may earn in 31. Students in good academic standing at the conclusion of the semester in which they have completed 20 semester credits may apply for regular admission. If admitted, students will be eligible to pursue degrees.
Personal Information
Social Security Number*
-
-
Note: If you elect not to provide your SSN, you must request a unique, 9-digit ID number and retain that number to access your future BSU records. If using financial aid, actual SSN is required.
First Name*
Middle Name
Last Name*
Suffix
Former Last Name (e.g. Maiden Name)
Birth Date* (mm/dd/yy)
Sex*
Male
Female
Telephone Number*
(
)
-
Street Address*
City*
State*
- Any State -
AE-Military
AL-Alabama
AK-Alaska
AP-Military
AZ-Arizona
AR-Arkansas
CA-California
CO-Colorado
CT-Connecticut
DE-Delaware
DC-District of Columbia
FC-Foreign Country
FL-Florida
GA-Georgia
HI-Hawaii
ID-Idaho
IL-Illinois
IN-Indiana
IA-Iowa
KS-Kansas
KY-Kentucky
LA-Louisiana
ME-Maine
MD-Maryland
MA-Massachusetts
MI-Michigan
MN-Minnesota
MP-Northern Mariana Islands
MS-Mississippi
MO-Missouri
MT-Montana
NE-Nebraska
NV-Nevada
NH-New Hampshire
NJ-New Jersey
NM-New Mexico
NY-New York
NC-North Carolina
ND-North Dakota
OH-Ohio
OK-Oklahoma
OR-Oregon
PA-Pennsylvania
RI-Rhode Island
SC-South Carolina
SD-South Dakota
TN-Tennessee
TX-Texas
UT-Utah
VT-Vermont
VA-Virginia
WA-Washington
WV-West Virginia
WI-Wisconsin
WY-Wyoming
County of Residence, if Indiana
Zip Code*
E-mail Address*
Biographical Information
Citizenship*
United States citizen
Immigrant, Permanent Resident of:
Submit a copy of your I551 card. Nonresident aliens should apply through the Center for International Programs.
State of Residence (If you live within the US)*
- Any State -
AE-Military
AL-Alabama
AK-Alaska
AP-Military
AZ-Arizona
AR-Arkansas
CA-California
CO-Colorado
CT-Connecticut
DE-Delaware
DC-District of Columbia
FC-Foreign Country
FL-Florida
GA-Georgia
HI-Hawaii
ID-Idaho
IL-Illinois
IN-Indiana
IA-Iowa
KS-Kansas
KY-Kentucky
LA-Louisiana
ME-Maine
MD-Maryland
MA-Massachusetts
MI-Michigan
MN-Minnesota
MP-Northern Mariana Islands
MS-Mississippi
MO-Missouri
MT-Montana
NE-Nebraska
NV-Nevada
NH-New Hampshire
NJ-New Jersey
NM-New Mexico
NY-New York
NC-North Carolina
ND-North Dakota
OH-Ohio
OK-Oklahoma
OR-Oregon
PA-Pennsylvania
RI-Rhode Island
SC-South Carolina
SD-South Dakota
TN-Tennessee
TX-Texas
UT-Utah
VT-Vermont
VA-Virginia
WA-Washington
WV-West Virginia
WI-Wisconsin
WY-Wyoming
Note:
If you claim residence in Indiana, Ball State University reserves right to request documentary evidence in support of the claim before classification as an Indiana resident.
Ethnic Background
American Indian/Native Alaskan
Black (Non-Hispanic)
Hispanic
White (Non-Hispanic)
Asian/Pacific Islander
Other, specify
Note:
Although optional, the ethnic information is requested to fulfill reporting obligations to the federal government.
Have you ever been convicted of a felony?*
Yes
No
Admission Information
Semester and year for which you are applying*
Fall
Spring
Summer
1st Summer Session
2nd Summer Session
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
Have you previously applied for admission to Ball State?*
Yes
No
If yes, semester and year:
Fall
Spring
Summer
1st Summer Session
2nd Summer Session
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
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1943
Did you attend?
Yes
No
High School Last Attended* (required if no GED)
Year of Graduation
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
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1992
1991
1990
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City
State
- Any State -
AE-Military
AL-Alabama
AK-Alaska
AP-Military
AZ-Arizona
AR-Arkansas
CA-California
CO-Colorado
CT-Connecticut
DE-Delaware
DC-District of Columbia
FC-Foreign Country
FL-Florida
GA-Georgia
HI-Hawaii
ID-Idaho
IL-Illinois
IN-Indiana
IA-Iowa
KS-Kansas
KY-Kentucky
LA-Louisiana
ME-Maine
MD-Maryland
MA-Massachusetts
MI-Michigan
MN-Minnesota
MP-Northern Mariana Islands
MS-Mississippi
MO-Missouri
MT-Montana
NE-Nebraska
NV-Nevada
NH-New Hampshire
NJ-New Jersey
NM-New Mexico
NY-New York
NC-North Carolina
ND-North Dakota
OH-Ohio
OK-Oklahoma
OR-Oregon
PA-Pennsylvania
RI-Rhode Island
SC-South Carolina
SD-South Dakota
TN-Tennessee
TX-Texas
UT-Utah
VT-Vermont
VA-Virginia
WA-Washington
WV-West Virginia
WI-Wisconsin
WY-Wyoming
Have you taken the GED?* (requried if no High School)
Yes
No
If yes, then in what year
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
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1981
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1944
1943
Work and Military Experience
Please list all recent periods of employment or military service. Attach additional pages if necessary.
Name & Address of Employer or Military Branch
Position
From (mm/yyyy)
To (mm/yyyy)
1
2
3
4
5
6
7
8
9
10
11
12
/
2008
2007
2006
2005
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Previous College Experiences
This section must be completed if you are currently attending or have ever attended other colleges, universities, or post-high school programs on a part-time or full-time basis.
Failure to list all colleges attended may result in loss of transfer credit, cancellation of admission, or both.
Even if you enrolled for a brief time and did not complete courses or earn credit, or even if you do not desire to transfer credit, you must submit an official transcript or official letter verifying that you withdrew in good standing.
Please note: Non-degree applicants must list all institutions but are not required to submit transcripts.
Name of Institution
City
State
From (mm/yyyy)
To (mm/yyyy)
Degree Earned
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
1
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AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
1
2
3
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AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
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Parent, Guardian or Spouse Information
Relation to Applicant*
Independent (Skip the remainder of this section)
Father
Mother
Spouse
Guardian
Is this person your legal guardian?
Yes
No
Is this parent/guardian or spouse a legal resident of Indiana?
Yes
No
First Name
Middle Name
Last Name
Suffix
Telephone Number
(
)
-
Street Address
City
State
- Any State -
AE-Military
AL-Alabama
AK-Alaska
AP-Military
AZ-Arizona
AR-Arkansas
CA-California
CO-Colorado
CT-Connecticut
DE-Delaware
DC-District of Columbia
FC-Foreign Country
FL-Florida
GA-Georgia
HI-Hawaii
ID-Idaho
IL-Illinois
IN-Indiana
IA-Iowa
KS-Kansas
KY-Kentucky
LA-Louisiana
ME-Maine
MD-Maryland
MA-Massachusetts
MI-Michigan
MN-Minnesota
MP-Northern Mariana Islands
MS-Mississippi
MO-Missouri
MT-Montana
NE-Nebraska
NV-Nevada
NH-New Hampshire
NJ-New Jersey
NM-New Mexico
NY-New York
NC-North Carolina
ND-North Dakota
OH-Ohio
OK-Oklahoma
OR-Oregon
PA-Pennsylvania
RI-Rhode Island
SC-South Carolina
SD-South Dakota
TN-Tennessee
TX-Texas
UT-Utah
VT-Vermont
VA-Virginia
WA-Washington
WV-West Virginia
WI-Wisconsin
WY-Wyoming
Zip Code
Intended Major Information
Select Category*
Independent Learning Program (ILP)
Distance Education Program (Live, Webcast, Internet)
College Transition Program (CTP)
Major Code*
147 - RN to BS Track
148 - LPN to BS in Nursing (Open to Miller participants ONLY)
310 - Associate of Science in Bus. Admin.-Mgt. (ILP)