BUNKER HILL COMMUNITY COLLEGE APPLICATION FOR ADMISSION

Transcription

1 APPLICATION FOR ADMISSION We are pleased that yu are cnsidering Bunker Hill Cmmunity Cllege t further yur educatin. This applicatin and instructin sheet shuld give yu the basic infrmatin yu need fr admissin t BHCC. If yu have additinal questins, please cntact the Office f Admissins at Apply fr Admissin Cmplete the applicatin frm and submit it t Admissins and Enrllment Services lcated n the Charlestwn Campus, 250 New Rutherfrd Ave, Bstn MA, 02129, Rm B203. Sme prgrams have a selective admissins prcess. Please cntact Admissins and Enrllment Services at fr further infrmatin. Submit a cpy f yur high schl diplma, transcript if a graduatin date is recrded n it, r GED. (Original dcuments may be requested. If dcuments are nt in English, an fficial evaluatin and translatin must be attached). If yu are claiming Massachusetts residency fr tuitin purpses, please cmplete the enclsed applicatin fr Massachusetts in-state tuitin rates and submit it alng with the apprpriate dcumentatin t the Admissins and Enrllment Services, Rm B203. If yu are transferring credit frm a reginally accredited institutin, submit an fficial transcript fr evaluatin f transfer credits. Request fr the transcript t be mailed t: Academic Recrds Office, Rm B204, 250 New Rutherfrd Ave., Bstn, MA, If yu are an internatinal student, cntact the Internatinal Center at fr an internatinal student applicatin. 2. Apply fr Financial Aid Online Financial assistance is available t help yu finance yur educatin. G t and fill ut the Federal Applicatin frm. When cmpleting the FAFSA nline, be sure t list Bunker Hill Cmmunity Cllege in the Schls Infrmatin Sectin. BHCC s cde is Once BHCC has received yur FAFSA, yu will be ntified f any additinal requirements. Please nte that financial aid requires enrllment in a degree r certificate prgram, therefre applying fr admissin is necessary. Fr additinal infrmatin abut financial aid, please g t: 3. Take Cmputerized Placement Tests Take the Cmputerized Placement Tests (CPTs) in reading, mathematics and English. Drp by the Assessment Center in Rm B118 fr walk-in testing. If yu have cmpleted a mathematics r English curse with a grade f C r higher at a reginally accredited institutin, yu may be eligible fr exemptin frm testing. T see if yu qualify fr exemptins, bring a cpy f yur cllege/university transcript t Rm B Meet with an Advisr After cmpleting the CPT (see abve), yu will attend a Start Smart Orientatin where yu will receive a brief academic verview, meet with advising staff, and register fr curses. 5. Dcument Immunizatin If yu are registering full time r are in a health career prgram yu must cmplete the immunizatin recrd frm and return it t Academic Recrds, B204, 2nd Flr Main Lbby, within 30 days f the date f registratin. 6. Pay fr yur classes Yu may pay by check, mney rder, VISA, MasterCard, Discver, r arrange a payment plan. 7. Obtain yur BHCC Identificatin Card BHCC students are required t carry a current BHCC OneCard while n campus. Bring a cpy f yur current class schedule and gvernment issued pht ID, such as a Drivers License, Massachusetts ID r Military ID t the Charlestwn Campus ID statin in the Library (Rm E300) r Chelsea Campus ID statin in the Cmputer Lab n the 1st Flr. Fr ID statin hurs visit bhcc.mass.edu/library/bhccidcard/. 8. Obtain yur Parking Permit If yu wish t park n campus yu must purchase a BHCC parking permit valid fr the entire semester. Refer t the Curse Schedule, General Infrmatin sectin, fr further infrmatin refer t bhcc.mass.edu/publicsafety. p1

2 PROGRAMS OF STUDY Assciate in Arts Degrees Business Cncentratin Chemical Science Cncentratin Cmmunicatin Cncentratin Cmputer Infrmatin Systems Cncentratin Cmputer Science Cncentratin Educatin Cncentratin English Cncentratin Fine Arts Cncentratin Freign Language Cncentratin General Cncentratin Histry and Gvernment Cncentratin Mathematics Cncentratin Music Cncentratin Physics Cncentratin Psychlgy Cncentratin Scilgy Cncentratin Theatre Cncentratin Wrld Studies Emphasis Certificatin (Students in any AA degree prgram can earn Wrld Studies Emphasis certificatin.) Assciate in Science Degrees Bilgical Sciences Prgram: Bilgy Transfer Optin Bitechnlgy Optin * Envirnmental Science Optin Business Administratin Prgram: Accunting Optin Craft Entrepreneurship Optin Entrepreneurship Optin Finance Optin Management Optin Taxatin Optin Technical Business Optin Cmputer Infrmatin Technlgy Prgram: Cmputer Science Transfer Optin Cmputer Supprt Specialist Optin Database Prgramming and Administratin Optin Digital and Cmputer Frensics and Investigatins Optin Infrmatin Technlgy Security Optin Infrmatin Technlgy Transfer Optin Netwrk Technlgy and Administratin Optin Cmputer Media Technlgy Prgram: Gaming/Cmputer Simulatin Optin Web Develpment Optin Criminal Justice Prgram Culinary Arts Prgram Culinary Arts Optin Baking and Pastry Arts Optin Early Childhd Develpment Prgram Electrical Pwer Utility Prgram* Emergency Medical Studies Prgram: Paramedic Studies Engineering Prgram: Bimedical Engineering Optin Engineering Transfer Optin Fire Prtectin and Safety Prgram Htel and Restaurant Management Prgram: Htel/Restaurant Management Optin Management f Assisted Living and Institutinal Facilities Optin Meeting and Event Planning Optin Human Services Prgram Medical Imaging Prgram:* Cardiac Sngraphy Optin* General Sngraphy Optin* Medical Radigraphy Full-time Optin* Medical Radigraphy Part-time Evening Optin* Medical Labratry Technician Prgram* Office and Infrmatin Management Prgram: Administrative Infrmatin Management Optin Medical Infrmatin Management Optin Paralegal Studies Prgram Registered Nursing Prgram: Day/Evening/Alternative Optins* Visual and Media Arts Prgram: Fine Arts Optin Graphic Design Optin Interactive Design Optin Media Cmmunicatin Optin Certificate Prgrams Allied Health:* Medical Assistant* Medical Interpreting* Patient Care Technician* Business Administratin: Accunting Infrmatin Craft Entrepreneurship Entrepreneurship Taxatin* Cmputer Infrmatin Technlgy: Cisc Systems CCNA (Fast Track) Cmputer Frensics Cmputer Frensics (Fast Track) Cmputer Supprt Specialist Database Supprt Specialist Database Supprt Specialist (Fast Track) Excel Applicatins Supprt Specialist Health Infrmatin Netwrking Infrmatin Technlgy Security Infrmatin Technlgy Security (Fast Track) Micrsft Applicatins Supprt Specialist Netwrk Technlgy and Administratin Object Oriented Cmputer Prgramming and Design PC Hardware Supprt Specialist Cmputer Media Technlgy: Gaming/Cmputer Simulatin in Entrepreneurship Web Develpment Web Develpment in Entrepreneurship Culinary Arts: Culinary Arts Pastry Arts Early Childhd Develpment with Child Develpment Assciatin Credential Emergency Medical Studies Paramedic Studies Energy and Sustainability Management Htel and Restaurant: Htel and Restaurant Management Meeting and Event Planning Human Services: Cmmunity Health Wrker Prfessinal Human Services Wrk Psychiatric Rehabilitatin Substance Abuse Services Legal Studies and Public Safety: Fire Prtectin and Safety Law Enfrcement Medical Imaging:* Cmputed Tmgraphy* Imaging Infrmatics* Magnetic Resnance (MR)* Mammgraphy* Office and Infrmatin Management: Administrative Supprt Specialist Infrmatin Management Specialist Medical Infrmatin Management Assistant Paralegal* Pharmacy Technician* Practical Nursing* Surgical Technlgy: Central Prcessing* Surgical Technlgy* * Selective prgram with specific prerequisites and start terms; see Cllege Catalg. Fr updated infrmatin, please visit the Cllege s website at bhcc.mass.edu. BHCC is fully accredited by the New England Assciatin f Schls and Clleges. p2

3 APPLICATION FORM PLEASE PRINT CLEARLY Student I.D. number: r Scial Security number: (Mandatry fr Financial Aid and Tax Reprting) Enter number here: Student s Last Name: Student s First Name: Residence Address: Date f Birth: / / Frmer Name: Middle Initial: Apt: Gender: Male Female City: State: Zip Cde: Hme Phne: Cell Phne: Mailing Address: If different frm residence Apt: City: State: Zip Cde: Residency: Massachusetts Resident Out f State Resident Term: Citizenship: U.S. Citizen Attach Birth Certificate r Passprt and 2 prfs f Massachusetts Residency Nn-Resident Alien Resident Alien Attach cpy f Resident Alien Card and 2 prfs f Massachusetts Residency Other Please Specify Fall 20 Spring 20 Summer 20 Ethnicity: (chse ne) Hispanic/Latin Nn Hispanic/Latin Race: (please select ne r mre categries t describe yurself) AN - American Indian/ Alaskan Native BL - Black/African American HP - Native Hawaiian/ Pacific Islander WH - White AS - Asian CV - Cape Verdean NR - Nn-Resident UN - Unknwn Please write yur selected prgram in this bx: (Prgrams f study are listed n page 2.) Are yu a Veteran f the U.S. Armed Frces? Yes N What is yur verall gal at BHCC? Earn a degree r certificate. Transfer t 4-year institutin Acquire persnal r jb-related skills Enter wrkfrce upn graduatin I am planning t attend BHCC... Full time (12 r mre credits) Part time (fewer than 12 credits) Please check ne that applies. First time enrlling at any cllege fr credit Transferring frm anther cllege r university Returning t BHCC frm an absence, nn-graduate: Were yu in a degree prgram? Yes N If yes, please prvide the year yu previusly attended BHCC graduate seeking readmissin Applying t General Cncentratin t cmplete prerequisites AFFIRMATIVE ACTION and EQUAL OPPORTUNITY POLICY Bunker Hill Cmmunity Cllege des nt discriminate n the basis f race, creed, religin, clr, sex, sexual rientatin, gender identity, age, disability, genetic infrmatin, maternity leave r natinal rigin in its educatinal prgrams and in admissin t, access t, treatment in r emplyment in its prgrams r activities as required by Chapters 151B and C f the Massachusetts General Laws; Titles VI and VII, Civil Rights Act f 1964; Title IX, Educatin Amendments f 1972; and Sectin 504, Rehabilitatin Act f 1973 and regulatins prmulgated thereunder. Direct all inquiries cncerning the applicatin f these regulatins t Thmas L. Saltnstall, Directr f Diversity and Inclusin, the Cllege s Affirmative Actin Officer and Title IX and Sectin 504 Crdinatr, 250 New Rutherfrd Avenue, Rm E236F, Bstn, MA r by calling p3

4 APPLICATION FORM PLEASE PRINT CLEARLY HIGH SCHOOL/GED INFORMATION Schl/Agency: City: State: Zip: CEEB Cde: Graduatin Date: COLLEGE(S) ATTENDED Cllege Name City State Zip Cllege Name City State Zip Cllege Name City State Zip Is English yur first language? Yes N If n, what is yur first language? Are yu interested in the Cmmnwealth Hnrs Prgram? Yes N Are yu requesting transfer credit? Yes N If yes, please have all clleges listed abve send fficial transcripts t Bunker Hill Cmmunity Cllege, Academic Recrds, Rm B204, Charlestwn Campus, 250 New Rutherfrd Avenue, Bstn, MA Intent t Apply fr Financial Aid and Cmplete the FAFSA Frm Bunker Hill Cmmunity Cllege awards millins f dllars in federal, state and institutinal financial aid each year t eligible students. Hwever, many students miss ut because they d nt realize they are eligible and d nt cmplete the Free Applicatin fr Federal Student Aid (FAFSA). T apply fr financial aid, students must cmplete the FAFSA available n the Federal Financial Aid Web site at Financial Aid can be used t pay fr tuitin, fees, bks, transprtatin, and ther educatinal expenses. We strngly encurage yu t cmplete the FAFSA. If yu need help with yur financial aid applicatin r cllege financial planning, ur Financial Aid Office has cunselrs wh can assist yu. Fr assistance, cntact us at Please select the ptin belw that best describes yur plans t cmplete a FAFSA. This infrmatin will have n impact n whether yu are admitted t the cllege. I plan t apply (r have already applied) fr federal, state and institutinal financial aid and am prepared t cmplete the FAFSA at I plan t apply fr federal, state and institutinal financial aid, but I need help frm the Financial Aid Office t cmplete the FAFSA. I d nt plan t apply fr federal, state r institutinal financial aid at this time. Signature: Date p4

5 MASSACHUSETTS COMMUNITY COLLEGE IN-STATE TUITION ELIGIBILITY FORM Bunker Hill Cmmunity Cllege requires all students claiming in-state tuitin eligibility t submit dcumentatin. An eligible persn shall mean (A) a U.S. Citizen, lawful immigrant, permanent resident, r hlder f anther legal immigratin status, (B) wh has satis ed the duratinal residency requirement and can demnstrate his/her intent t remain in Massachusetts. PROVIDE ONE DOCUMENT FROM LIST A U.S. Citizen (student must submit birth certificate r U.S. passprt) Resident Alien (student must submit cpy f resident alien card) U.S. permanent resident with I-151, I-551, and I-551C frms (students must submit INS dcumentatin) I-94 frm the U.S. Immigratin and Naturalizatin Service with ne f the fllwing designatins stamped n the card: refugee; Cuban-Haitian entrant status pending; asylum granted; indefinite parle; r humanitarian parle (student must submit passprt r INS dcumentatin). Nn-citizen wh is in (r wh is eligible t apply and wh has applied fr) refugee/ asylum status PROVIDE TWO DOCUMENTS FROM THE DOCUMENT LIST IN THE BOX ON THE OTHER SIDE OF THIS FORM Please present the tw dcuments yu selected frm the ther side f this frm. The dcuments must be dated at least 6 mnths prir t the first day f classes fr the semester/sessin yu are enrlling, but nt mre than ne year prir t that date. Dcumentatin must be prvided t Admissins and Enrllment Services at the time f registratin r upn submissin f yur admissin applicatin, whichever cmes rst. Fr questins cncerning residency requirements, please cntact the Of ce f Admissins at

6 MASSACHUSETTS IN-STATE TUITION ELIGIBILITY FORM PLEASE PRINT CLEARLY Student I.D. number: r Scial Security number: (Mandatry fr Financial Aid and Tax Reprting) Date f Birth: / / Gender: Male Female Student s Last Name: Student s First Name: Mailing Address: Middle Initial: Apt: City: State: Zip Cde: Hme Phne: Cell Phne: Are yu a U.S. Citizen? Yes N If nt, please cmplete the fllwing questin. Are yu a Permanent Resident? Yes (If yes, list alien registratin number in bx at end f rw) N If yu are nt a U.S. Citizen r Permanent Resident, please state yur Visa r immigratin status in detail: PLEASE CHECK THE IN-STATE OR REDUCED TUITION ELIGIBILITY CATEGORY THAT APPLIES TO YOU: I have been a Massachusetts resident fr six (6) cntinuus mnths and intend t remain here. I have been a Massachusetts resident fr LESS than six (6) cntinuus mnths. As prf f my intent t remain in Massachusetts, I pssess at least 2 f the fllwing dcuments, which I shall present t the institutin upn request. These dcuments* must be dated between six (6) mnths and ne (1) year f the start date f the academic semester fr which I seek t enrll (except fr my high schl diplma, which may nly be used if I graduated within ne (1) year f the start date f the academic semester fr which I am enrlling ). The institutin reserves the right t make any additinal inquiries regarding the applicant s status and t require submissin f any additinal dcumentatin it deems necessary. Please check the dcuments yu pssess as prf f yur intent t remain in Massachusetts and bring them with yu t BHCC. Valid Drivers License Utililty Bills * Emplyment Pay Stub * Valid Car Registratin Vter Registratin * State/Federal Tax Returns * Massachusetts High Schl Diplma Signed Lease r Rent receipt * Military Hme f Recrd * Other Recrd f parents residency fr unemancipated persn * I am an eligible participant in the New England Bard f Higher Educatin s Reginal Student Prgram. I am a member f the armed frces (r spuse r unemancipated child) n active duty in Massachusetts. CERTIFICATION OF INFORMATION I certify that this infrmatin is true and accurate. I understand that any misrepresentatin, missin r incrrect infrmatin shall be cause fr disciplinary actin up t dismissal, with n right f appeal r t a tuitin refund. Applicant Signature: Parent/Guardian Signature: Applicant is under 18 Years Old Date: Date: FOR OFFICIAL USE ONLY - DO NOT WRITE IN THIS AREA I have reviewed the abve infrmatin in rder t determine this individual s eligibility t receive the in-state tuitin rate. Based n my review I have determined that this individual: IS eligible fr the in-state Tuitin rate IS NOT eligible fr the in-state tuitin rate I am unable t make a determinatin at this time Authrized Cllege Persnnel: Date: The fllwing additinal infrmatin has been requested frm the applicant: 2 11/01/13