Citizenship: _____USA _____Other
Ethnicity:
____Caucasian/White Non-Hispanic
____Black/Non-Hispanic
____Spanish Surnamed Hispanic
____Oriental-Asian or Pacific Islands
____Native American/Alaskan Native
____Other
____Chose not to respond
Safety and Security (this section must be completed by all applicants).
A felony in Montana is defined as a crime for which more than one year in prision
may be imposed.
Have you ever been conviced of a felony (please include instanses of deferred
sentencing)?
___ Yes ___ No
Have you ever been subjected to a court-ordered confinement for threating or
causing physical or emotional injury to persons or property?
___Yes ___ No
Suspension is defined as a sanction imposed for disciplinary reasons that results in
a student leaving school for a fixed time period, less than permanently. Dismissal
from a college for disciplinary reasons is defined as permanent separation for an
institution of higher education on the basis of conduct or behavior.
Have you been disciplined, suspended from, or placed on probation at any
academic institution for non-academic reasons?
___ Yes ___ No
Have you been required to register as a sexual or violent offender?
___ Yes ___ No
An affirmative answer to these questions will not automatically prevent admission, but you will asked by
the college to provide additional information. The information will be reviewed by a campus committee
to ensure safety. Any falsification or omission of data may result in a denial of admission or dismissal.
