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Please fill out this form to be contacted by an Admissions Counselor so we can help with any questions or comments you have about Bellin College. We look forward to connecting with you soon!
Please note Bellin College is unable to admit international students at this time.

Contact Information

First Name

Preferred First Name (if applicable)

Last Name

Email Address

Cell Phone Number

Do we have your permission to text you?

Yes

No

How should we contact you?
*Please note that all application-related communication will be sent via email*

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

What questions do you have for your counselor?

Academic Information

Bellin College offers multiple start options for students:

Fall - all undergraduate programs for first-year and transfer students, graduate DPT, and graduate Nursing (MSN and DNP)
Spring - undergraduate transfer Nursing (15-month), Graduate OMPT Fellowship
Summer - undergraduate transfer Nursing (15-month), OMPT Fellowship and DScPT

Student Types

First Year - entering an undergraduate program directly from high school
Transfer - entering an undergraduate program from another college/university
Masters/Doctoral - entering a graduate program after completion of an undergraduate degree
Certificate/Fellowship - post-college certifications for licensed professionals
Re-Admit - returning to Bellin College after a previous dismissal or leave of absence
Non-Degree - looking to complete individual classes, not a full degree

Student Type

What program are you interested in?

What path to DNP are you interested in?

When do you hope to enroll?

Current or Most Recent School

Level of Study at Current/Previous School

High school - your most recent school was a high school
Undergraduate - your most recent school was a 2 or 4-year college
Graduate - your most recent school was a post-bachelors degree

School Code

Last Term Attended or Anticipated Graduation Date

Self Reported GPA

Highest Degree Earned

How did you hear about us?

Can you answer two more questions?

Yes

No

Demographic Information

Hispanic/Latinx

Yes

No

Your Extra-Curricular Activities or Interests

BC Family

Visitors

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