Public Non-Degree Application

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School Name School Code Date Attended From Date Attended From Date Attended To Date Attended To Credits/Degree Earned (estimate)

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Courses

When do you want to start?

If you have questions about what classes to take to meet prerequisite requirements for a degree-seeking program (Nursing, Sonography, Radiology, Radiation Therapy, Surgical Assisting) please contact admissions@bellincollege.edu before completing this form.

What course(s) would you like to take?

Course options can be found here: Available Courses

Checkmark each statement below to indicate that it is true and accurate

The information I have provided is correct in all aspects.

I understand that Special Student registration does not imply current or future admission to Bellin College. If I wish to apply for admission into one of the programs of study I must complete a Bellin College Undergraduate application.

I understand that this registration/Non-Degree Seeking Status is for one enrollment term only, and if I wish to take additional courses I must re-submit the Special Student Application every enrollment term that I intend to register.

I understand that there is no Bellin College Financial Aid available. (Students enrolling at Bellin College who are degree-seeking at another institution, are encouraged to check with that institution’s Financial Aid Office.)

I agree to comply with all the rules/regulations and policies articulated in the Bellin College Catalog and Handbook in effect during the enrollment term of my registration.

I agree to be financially responsible for all tuition and fees resulting from this registration. Refunds are issued in accordance to the published Bellin College Refund Policy.

I understand that I must return my BC ID Badge and Parking Pass at the conclusion of the course(s). A “hold” will be placed on all BC records if not returned as instructed.

I understand that the courses taken may be eligible for transfer to another institution. Please check with other institution’s Transfer Coordinator.

Signature

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Date

Reservation Fee (non-refundable)
To complete your non-degree seeking student application, a non-refundable $200 reservation fee is required.

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Amount Due

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Public Non-Degree Application

Non-Degree Seeking Student