Bachelor of Applied Science in Applied Management Application
Clark College
1933 Fort Vancouver Way
Vancouver, WA 98663
For questions, contact BASAM@clark.edu
Cohort Date of Application:
Quarter/Year
PERSONAL INFORM ATION
LAST NAME FIRST MIDDLE Initial
STUDENT IDENTIFICATION NUMBER
ADDRESS CITY STATE ZIP
PHONE NUMBER EMAIL ADDRESS
HOW DID YOU HEAR ABOUT THIS PROGRAM?
In submitting this application, I affirm that all information requested on this application has
been given and that this information is complete and accurate.
Signature Date
Clark College is accredited to offer the Bachelor of Applied Science in
Applied Management Program by
the Northwest Commission on Colleges and Universities.
Clark College does not discriminate on the basis of race, color, national origin, sex, disab ility, age, religion, sexual orientation, gender identity,
gender expression, political affiliation, creed, disab led veteran status, marital status, honorably discharged veteran or Vietnam -era veteran
status in its programs and activities, in accordance with state and federal laws. The responsib ility for and the protection of this commitment
extends to students, faculty, administration, staff, contractors and those who develop or participate in college programs. It encompasses every
aspect of employment and every student and community activity. The following person has been designated to handle inquiries regarding non-
discrimination policies: Special Advisor for Equity and Diversity, Gaiser Hall, 360-992-2355, or 360-991-0901 (video phone).
Alternate format of this document is availab le upon request.
Please contact Disability Support Services at 360-992-2314, or 360-991-0901 (video phone).
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