Prospect Inquiry

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Contact Information

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College Information

Enrollment to BSU Information

Disciplinary History

Academic Disciplinary History*
Have you ever been charged with or placed on probation, suspended, removed, dismissed or expelled as a result of a disciplinary violation, whether related to academic misconduct or behavioral misconduct at any educational institution you have attended from the 9th grade (or international equivalent) forward?
Adjudication Disciplinary History*
Have you ever been adjudicated guilty or convicted of a misdemeanor, felony, or other crime? (Note: you are not required to answer “yes” to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, vacated, impounded, or otherwise ordered by a court to be kept confidential and/or is excluded pursuant to MA General Law Chapter 151C, Section 2(f).

Certification & Signature

Do you certify the following?*
I understand that once my application has been submitted it may NOT be altered in any way.
Do you certify the following?*
I certify that all of the information submitted in the application is my own work, factually true, and honestly presented. I authorize all schools attended to release all requested records and authorize review of my application. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation or expulsion, should the information I certified be false.
Do you certify the following?*
I understand that an offer of admission is conditional, pending receipt of final transcripts showing work comparable in quality to that upon which the offer was based.
By signing my signature below, I authorize that the information above may be shared between Bristol Community College and Bridgewater State University for purposes associated with the BCC2BSU program. I understand that I am enrolling in the BCC2BSU program and indicate that I understand the benefits associated with the BCC2BSU program. If at any point I wish to opt out of the BCC2BSU program, I will contact Bridgewater State University’s Associate Director of Transfer Services, Jeffery Sarahs at j1sarahs@bridgew.edu to discuss the process.
By signing my signature below, I authorize that the information above may be shared between Massasoit Community College and Bridgewater State University for purposes associated with the MCC2BSU program. I understand that I am enrolling in the MCC2BSU program and indicate that I understand the benefits associated with the MCC2BSU program. If at any point I wish to opt out of the MCC2BSU program, I will contact Bridgewater State University’s Associate Director of Transfer Services, Jeffery Sarahs at j1sarahs@bridgew.edu to discuss the process.
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