Admission Application for Saturday One-Day Students

General Information

Application Date:06/19/2013

First Name:	Last Name:	Middle:
Street Address:	City:	State:
ZIP/Postal Code:	Country:	E-mail:
Date of Birth:	Social Security #:	Fax:
Place of Birth:	Telephone:

Are you a citizen of the United States?:	Yes No	If no, country of Citizenship:

Is English your first Language?	Yes No	Languages in which you are fluent

International applicants for whom English is a second language, date of TOEFL

Have you previously been enrolled at Bay Path College? Yes No

Have either of your parents earned a 4-year Bachelor's Degree? Yes Don't Know
No

If yes, please give dates of enrollment


How did you first hear about Bay Path College?

Direct Mail Flyer
Newspaper Ad
TV Ad

Radio Ad
Word of Mouth
Local Resident

Current Student
Other

Academic Area of Study

The following majors are available in the degree programs listed below. Please choose your preference and desired concentration.

Bachelor Degrees

Associate Degrees

Note: The College reserves the right to hold classes on-line if necessary.

Educational Background

List below the final high school you attended, and all colleges or universities you have attended:

Name of Institution	City & State	Dates of Attendance Month and Year	Number of credits	Date of graduation






	x

If applicable, date GED was earned
Have either of your parents earned a Bachelor's Degree?	Yes No

You must submit transcripts for all courses taken. Please have the schools you attended submit official (sealed) transcripts directly to the Burlington Campus Office. Do not open sealed copies that are sent to you directly. Bay Path College cannot accept opened or unofficial transcripts. If you need to consult a transcript, be sure to request an extra copy for yourself.

Do you intend to apply for Financial Aid?

Yes No

Employment Background

Employer	Address	Phone Number	Month/Year of Employment	Position Held

In several sentences, please tell us what was the most significant factor influencing your
decision to apply to Bay Path College.

Optional Goals Statement

How will furthering your education at Bay Path College help you achieve your professional and personal goals?

Ethnic Origin: (optional)
If other, please state:

Emergency Contact Information:


Name:
Address:
City, State, Zip
Phone Number:
Relationship to Applicant:

Signature of Applicant

By electronically transferring this document to Bay Path College, I certify the above information is complete and correct. I further understand that falsification or failure to supply the correct information may lead to the disqualification of my application for admission to Bay Path College. I also agree to accept full responsibility for all debts incurred.

Bay Path College admits students of any race, color, national or ethnic origin, physical limitation, religion, age or sexual orientation to all rights, privileges, programs, and activities generally accorded or made available to students at the college. Bay Path College does not discriminate on the basis of race, color, national or ethnic origin, physical limitation, religion, age or sexual orientation in the administration of its educational policies, admission policies, scholarship and loan programs, and other College-administered programs. The information requested on the application form is for the completion of statistical information only and is not used as a basis for admission.

Thank you for applying to Bay Path College.