Second Bachelor's Degree Application

Select College/ University 2 (start search with city/state then school name) *

Start Date

End Date

Have you attended any other Colleges or Universities? *

Select College/ University 3 (start search with city/state then school name) *

Start Date

End Date

Have you attended any other Colleges or Universities? *

Select College/ University 4 (start search with city/state then school name) *

Start Date

End Date

Have you attended any other Colleges or Universities? *

Select College/ University 5 (start search with city/state then school name) *

Start Date

End Date

Have you attended any other Colleges or Universities? *

Select College/ University 6 (start search with city/state then school name) *

Start Date

End Date

Have you attended any other Colleges or Universities? *

Select College/ University 7 (start search with city/state then school name) *

Start Date

End Date

Have you attended any other Colleges or Universities? *

Select College/ University 8 (start search with city/state then school name) *

Start Date

End Date

Current Enrollment Information

Current Enrollment Status *

Current Courses

Please list the courses you are currently taking

Course Title

Course Number

Semester / Year

Number of Credits

Course Title

Course Number

Semester / Year

Number of Credits

Course Title

Course Number

Semester / Year

Number of Credits

Course Title

Course Number

Semester / Year

Number of Credits

Course Title

Course Number

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Number of Credits

Course Title

Course Number

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Number of Credits

Course Title

Course Number

Semester / Year

Number of Credits

Course Title

Course Number

Semester / Year

Number of Credits

Disclosures

Have you ever been placed on disciplinary probation, suspension, or refused readmission to any college or university? *

Yes

You replied yes to the question above. Please provide an explanation: *

Have you ever been convicted of a misdemeanor or felony? *

Yes

How criminal history information is considered: Although we request that you disclose criminal history on your application, any information you provide will not be used to determine your candidacy for admission. Candidacy will be based only on your academic performance, test scores, activities, essay, recommendations, and so on. If you are admissible, only then will one of our directors look at the criminal history information you provided. This separate evaluation will be done to determine whether the criminal activity was serious enough to have a bearing on the final admissions decision. In the rare event that we determine prior criminal history may adversely affect your candidacy for admission, we typically ask an applicant to first provide additional information to help us in making our determination.

You replied yes to the question above. Please provide an explanation: *

Tuition Residency

Please see the Massachusetts Department of Higher Education web site for information on residency status for tuition classification.

Please note that possession of a second home in Massachusetts does not qualify you for residency.

Do you qualify for in-state residency tuition? *

Yes

Basis for in-state residency: *

I am a dependent student and at least one parent /legal guardian has resided in Massachusetts for at least 12 months prior to my planned enrollment at a four-year institution.

I am an independent student and I will have lived in Massachusetts for at least 12 months prior to my planned enrollment at a four-year institution. (Please note that time spent as a full-time student in Massachusetts may not be applied to the 12-month residency period. Four-year institutions may also require additional documentation when traditional college-age students claim independent status.)

My parent/legal guardian (or self) is a member of the armed forces on active duty in Massachusetts.

Please provide Massachusetts parent’s/legal guardian’s information below:

First Name

Last Name

Permanent Address

Country

Street

City

Region

Postal Code

Resided in MA since:

Daytime Phone Number

Signature

The institution reserves the right to withdraw without notice any application which is not complete and accurate. By my signature below, I certify that the information I have provided about my academic and personal history and my residency is accurate and complete. Failure to disclose any required information may result in denial of admission or retroactive administrative withdrawal without refund or loss of course credits.

Electronic Signature *