Your educational goals at Bucks (Check one)
• Earn an Associate degree, then transfer
• Earn an Associate degree, then work
• Take courses, then transfer
• Earn a certificate
• Personal interest/self-improvement
• Job improvement
• Other: __________________________________
Please Indicate Y (Yes) or N (No) your answer
Are you a legal resident of Bucks County?____
Are you a legal resident of Pennsylvania? ____
Are you a citizen of the United States? ____ If NO, please present
immigration documents in order for your application to be completed.
If you have questions, please email apply@bucks.edu
Have you ever applied to Bucks before? ____
Have you ever attended under another name? ____
If yes, what name? __________________________
I grant Bucks consent to call me with pre-recorded notifications. _____
Signature of applicant____________________________________________
If unable to print, sign, and return, please email copy of driver’s license or
other government-issued document, along with this application.
Date________
Bucks County Community College does not discriminate on the basis of race, sex, gender, (including pregnancy, sexual
harassment and other sexual misconduct such as acts of sexual violence such as rape, sexual assault, sexual exploitation and
coercion)
marital status, sexual orientation (including a transgender identity), age, disability, veteran status, religion, color,
ancestry, or national origin in admission, employment, educational programs or activities; nor does it discriminate on the
basis of genetic information in employment or employee health benefits. Further, faculty, staff, students, and applicants are
protected from retaliation for filing complaints or assisting in an investigation of discrimination. Inquiries regarding non-
discrimination policies and or related concerns may be directed to:
Executive Director, Human Resources, EEO Officer, Title
IX and 504 Coordinator, at (215) 968-8091 at 275 Swamp Road, Tyler 130, Newtown, PA 18940.
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