*I want to register for the following High School Connections class(es) at my high school:
__________________________________ ___/___/____ ________________________ ___/___/____
Student Signature Date Parent Signature Date
By my signature, I give the University permission to release my grade(s) to a high school ofcial upon completion of my course(s).
__________________________________ ___/___/____ (______)________________ ___/___/____
Counselor, Principal or Home School Ofcial Signature Date Phone Number Date
By my signature, I agree that this student is capable of doing University-level work.
*Registration is limited to class availability. Please contact Harold Olson at (406) 247-3015 or harold.olson1@msubillings.edu
When you become a Montana State University Billings student following your high school graduation, you will need to submit the $30
application fee, a nal high school transcript, ACT or SAT scores and complete the full application for admission.
Name: Social Security Number:(optional)
Term of Enrollment: Fall 20 Spring 20
Street Address:
City: State: Zip:
Home Phone: ( ) Birthdate: / /
E-mail: Gender: Male Female
Name of High School: H.S. Graduation Year:
State of Residency:
Ethnicity: This information is for statistical analysis only. It is not used in the admission process and will have no bearing on your admission status.
a. Indicate your ethnic identity by checking the appropriate boxes: Hispanic / Latino Not Hispanic or Latino (check category below)
b. If not Hispanic or Latino, indicate which of one or more racial categories should be used to classify you:
Submit Application to:
Jacket Student Central
City College at MSU Billings
3803 Central Avenue
Billings, MT 59102
(406) 247-3012
American Indian or Alaska Native (Specify primary tribal afliation or reservation)
Asian (Specify country of origin)
African American
Native Hawaiian or Other Pacic Islander (Specify country of origin)
White
msubillings.edu/connections
