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Bowie State University Office of Continuing Education and (Bowie State University)

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Bowie State University
Office of Continuing Education and External Programs
Non-Degree Application
Thank you for your interest in taking classes at Bowie State University. As the oldest Historically Black institution of
higher education in the State of Maryland, Bowie has a long and distinguished history of providing high-quality
educational programs. Bowie is also one of only six institutions in the nation that was awarded a Model Institutions of
Excellence (MIE) grant to enhance and improve our technological capabilities.
There is some basic information you should know about attending the University as a Non-Degree student. In addition, the
Non-Degree Student Handbook will provide more detailed information to guide you through your studies at the University.
Important things a Non-Degree Student should know.
• Payment for classes is due at the time of registration.
• Admission to the University as a Non-Degree student is for only one term. A non-degree application must be
completed for each term in which classes are to be taken.
• Non-Degree Students are not eligible to receive Financial Aid.
• All students must complete the Entrance Medical History Form once they have been admitted into the
University. This form must be turned into the Henry Wise Wellness Center.
• Only 6 credits of coursework, at the graduate level, may be eligible for acceptance into a BSU graduate
program, whether take at another university or at BSU while the student is classified as non-degree.
• Some courses and programs require additional application material. (For instance, if an individual seeks the
sequence of courses leading to certification as an Administrator 1 by Maryland State Department of Education,
the applicant must submit a transcript showing the awarding of the Masters degree; proof of three (3) years
teaching, and a copy of their current (valid) teaching certificate.) Please inquire with the Continuing Education
Office about other programs or course sequences. The Nursing Department must approve registration into their
courses.
• Students must purchase a parking permit. Payment for the permit can be made with the cashier in the Office of
Student Accounts. The permit may be obtained with the payment receipt in either the security office in
Robinson Hall or in the Police Station in McKeldin Gymnasium.
• All registered students must obtain a Bulldog Card. This card serves as the university’s identification card and
provides access to the Thurgood Marshall Library. The card will also allow access to the University System of
Maryland Library Consortium of Libraries.
• Register for The BEES System (Bowie Electronic Emergency Systems). BEES is a mass emergency
notifications system that empowers BSU to send instant alerts to all students, faculty and staff via email, pager,
cell phone, smart phone, Personal Digital Assistant (PDA), college web pages and to email addresses.
Click on
the link http://www.bowiestate.edu/about/bees.asp and sign-up as a new user. After you have signed
up you will receive a validation code immediately on your cell phone
Please keep this top page for your information.
Office of Continuing Education – Non-Degree Application
Thurgood Marshall Library, Room 1128 14000 Jericho Park Road
Bowie, Maryland 20715-9465
Phone: 301-860-3991 Fax: 301-860-4081
BSU Cashier: 301-860-3495
Email:ContinuingEd@bowiestate.edu
Non-Degree Students are not eligible to receive Financial Aid
Please Print Information Clearly
Application Fee $17.00 -
Tuition & Fees Are Due At The Time Of Registration
Semester
Year
Have you been in the past or currently enrolled at Bowie State University?
Yes No
What level of coursework will you be taking?
Graduate
Undergraduate
This application is to be used by persons not currently admitted as a degree seeking student into the University, but who desires to take
undergraduate or graduate courses without entering into a degree program. To take graduate courses you must have earned a Bachelor
Degree from
an accredited University.
Section I: General Information
Social Security Number:
BSU Student Identification Number:
Name:
Last First M.I.
Maiden/Former Name
Current Address:
Street City State Zip
County - Country
Please check and sign if you want to change the address BSU currently has on file. Signature:
Work/Daytime Telephone:
Home/Evening Telephone:
Cell Phone Number:
Email Address:
Section II: Personal Information
The University is required by Federal, state and local governments to supply admission and enrollment information. This information
is not used as a factor in determining eligibility for admissions.
Birth Date:
/
/
Gender:
Female
Male
Please answer both questions regarding race/ethnicity:
1.
Are you of Hispanic or Latino origin?
Yes
No
2.
What is your race? Select one or more of the following categories, as appropriate.
White
American Indian or Alaska Native Asian
Black or African American
Native Hawaiian or Other Pacific Islander
• Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
• White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
• Black or African American: A person having origins in any of the black racial groups of Africa.
• Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example,
Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
• American Indian or Alaska Native: A person having origins in any of the original peoples of North and South America (including Central
America) who maintains cultural identification through tribal affiliation or community attachment.
• Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific
Islands.
National Origin (Check only one):
United State Citizen: Non-United States Citizen, please complete the following: _ _
Country of Citizenship: Type of U.S. Visa:
Sponsored by:
If permanent resident, U.S. alien registration number:
Date
of Issuance:
(A photocopy of the front and back of your permanent resident card is required)
Person to contact in case of an emergency:
Name:
Telephone: Relationship to Applicant:
Education
High School Diploma-Date
GED – Date:
_____
Bachelor’s Degree – Date
_______
Are you currently enrolled in a degree program at another College/University?
Yes
No If yes, where:
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Registration Form
LIST YOUR DESIRED COURSES BELOW. ACCURACY IS ABSOLUTELY NECESSARY. IT IS YOUR
RESPONSBILITY TO LIST ALL INFORMATION CLEARLY.
YOU MUST HAVE A BACHELOR’S DEGREE TO TAKE GRADUATE COURSES.
Subject
Catalog
Number
Course
Number
Description
Credit
Hours
Day
Time
ANTH
102
2592
Intro to Anthropology
3
TR
9:30 – 10:30
PAYMENT FOR CLASSES IS DUE AT THE TIME OF REGISTRATION. CHECK THE OFFICIAL ROSTER FOR YOUR
ENROLLMENT ON THE FIRST DAY OF CLASS.
Military Service: To receive credits for your military service, you must be degree seeking.
Have you ever served in the United States Military:
Yes
No
Branch of Service: Air Force Army
Coast Guard
Marines
National Guard
Navy
Active (current duty station):
VA
Benefit Eligibility:
Yes
No
Separation (Discharged) Date: _
RESIDENCY INFORMATION
Do you wish to be considered for in-state tuition status?
Yes
No (If yes, you must complete this section of the
application.)
IF ANY
OF THE CATEGORIES BELOW APPLY, PLEASE CHECK THE APPROPRIATE BOX, PROVIDE REQUESTED
INFORMATION AND/OR DOCUMENT, AND GO TO ITEM 10.
I am a part-time (50%) or full-time regular employee of the University System of Maryland or, I am the spouse of, or am
financially dependent upon a parent or legal guardian who is, a regular employee of the University System of Maryland.
Please indicate relationship:
Please
attach a letter
of verification from the Human Resources Office of the campus at which you or your spouse or parent or legal guardian is employed.
I am a full-time active member of the U.S. Armed Forces whose home of residency is Maryland or one who resides or is
stationed in Maryland, or the spouse or a financially dependent child of such a person. Please attach a copy of your deed or
lease
(if applicable), or verification from the service that you have declared Maryland as your "home of residency" (if applicable);
and the
most recent assignment orders. Also, please indicate date of expected separation from the military .
I am a veteran of the United States Armed Forces residing in Maryland. Please submit a copy of your DD214. If you have a
discharge category other than honorable, please also submit a copy of your Certificate of Eligibility.
I a
m the spouse or child of a veteran or active duty member of the United States Armed Forces using educational benefits
under Post-9/11 GI Bill (38 U.S.C§ 3311 (b)(9) or 3319) or under 38 U.S.C.§ 3311(b)(9)
and living in Maryland. Please
submit a copy of the veterans DD214 and a copy of your Certificate of Eligibility.
I am eligible for in-state status considerations under the Maryland National Guard Nonresident Tuition Exemption. I am
eligible because I (1) joined or subsequently served to provide a critical military occupational skill or (2) am a member of the Air
Force
critical specialty code. I understand that I must provide documentation from my company commander for consideration.
A
PPLICANTS SEEKING IN-STATE STATUS AS A MARYLAND RESIDENT MUST COMPLETE THE FOLLOWING
QUESTIONS. Failure to
complete all of the required items may result in a non-Maryland resident classification and out-of-state
charges being applied.
Residency classification information is evaluated in accordance with the University System of Maryland
policy on residency. The applicant may be contacted for clarification of an item, or for additional information as necessary.
P
LEASE CHECK ONE:
I am financially independent. I provide 50% or more of my own living and educational expenses and I have not been claimed as a
dependent on another person’s most recent income tax returns.
I am financially dependent on another person who has claimed me as a dependent on his/her most recent income tax returns, or I
am a ward of the State of Maryland. If a ward of the State, please submit documentation and go to item 10.
Name of person upon whom dependent and relationship to applicant:
a.
How long have you been dependent upon this person?
b.
Is the person a resident of Maryland?
Yes
No
Address of this person:
c.
Has this person claimed you as a dependent on their most recent tax return?
Yes
No
d.
Has this person filed a Maryland state income tax return for the most recent year on all earned taxable income?
Yes
No
If a Maryland tax return has not been filed within the last 12 months, state reason(s):
e.
Signature of this person:
The Student Applicant is responsible for completing items 1 - 10.
1.
Permanent address:
Length of time at permanent address
years
months
If less than 12 months, provide previous address:
10.
I certify that the information provided is complete and correct. I understand that the University reserves the right to request additional
information
if necessary. In the event the University discovers that false or misleading information has been provided, the Student
Applicant may be billed by
the University retroactively to recover the difference between in-state and out-of-state tuition for the current and subsequent semesters.
Applicant’s Signature: Date:
PAYMENT FOR CLASSES IS DUE AT THE TIME OF REGISTRATION.
CHECK THE OFFICIAL ROSTER FOR YOUR ENROLLMENT ON THE FIRST DAY OF CLASS!!!!
Length of time at previous address
years
months
2.
Did you move to Maryland primarily to attend an educational institution?
Yes
No
3.
Are all, or substantially all of your possessions in Maryland?
Yes
No
4.
Do you possess a valid driver's license?
a.
If yes, in what state?
b. If Maryland, Initial date of issue and if applicable, renewal date
c. Have you possessed a driver’s license in a state other than Maryland within the last 12 months Yes No
Yes
No
5.
Do you own/lease any motor vehicles?
a.
If yes, in what state(s)?
b.
If Maryland, initial date(s) of registration and if applicable, renewal date
c.
Did you register your vehicle(s) in a state other than Maryland within the last 12 months Yes No
Yes
No
6.
Are you registered to vote?
a.
If yes, in what state?
Yes
No
7.
Have you filed a Maryland state income tax return for the most recent year?
Yes
No
If a Maryland tax return has not been filed within the last 12 months, state reason(s):
8. Is Maryland state income tax currently being withheld from your pay? If no, provide explanation.
Yes
No
9.
Do you receive any public assistance from a state or local agency other than one in Maryland?
a.
If yes, indicate type and issuing state: _
Yes
No
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Completed 22 July 2020

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