Graduate Non-Degree Application

* - Denotes a required field

Office of Registration and Records
110 Administration Building
Bowling Green State University
Bowling Green, OH 43403-0130
Phone: 419-372-8441
Fax: 419-372-7977
Email: radmguest@bgsu.edu

To request a transcript please contact
the Office of Registration and Records.

Note: In most instances, Graduate Non-Degree students are NOT eligible for federal financial aid. To determine your eligibility, please contact the SFA office at: 419-372-2651.

Applicant Information

First Name *

Last Name *

Middle/Maiden Name

Name Under Which You Were Previously Registered (If Different From Above)

First Name (Previous)

Last Name (Previous)

BGSU ID Number

SSN (last 4 digits only)

Date of Birth *

Gender *

Marital Status

CONTACT INFORMATION

Street Address *

City *

State *

Zip *

Cell Phone Number

Home Phone Number

Preferred Phone Number

Email Address *

FELONY INFORMATION

Have you been convicted of a felony? *

Please explain *

CONDUCT VIOLATIONS

Have you been found responsible for a non-academic conduct violation or do you currently have unresolved non-academic conduct cases at any college or university? *

Please explain *

CITIZENSHIP

Were you born in the U.S.? *

What country were you born in? *

Are you a U.S. Citizen? *

What country are you a citizen of? *

Are you a permanent resident of the U.S.? *

Please indicate your VISA status *

To complete your application, please forward a copy of your Permanent Resident Alien card to radmguest@bgsu.edu

To complete your application, please forward a copy of your VISA to radmguest@bgsu.edu

ETHNICITY AND RACE

Providing the information below is voluntary and will not be used in a discriminatory manner. These questions comply with the US Department of Education's standard for Ethnic and racial data collection.

Are you Hispanic or Latino?

Race (Please select all that apply)

American Indian/
Alaska Native

Asian

Black/African

Native Hawaiian/
Other Pacific Islander

White

RESIDENCY

Are you an Ohio resident? *

Ohio County in which you reside? *

How many years have you lived in Ohio? *

How many months have you lived in Ohio? *

State in which you reside? *

County in which you reside? *

I PLAN TO PURSUE

Professional development or a degree in *

Are you working with any special program or faculty member?

I PLAN TO ENTER BGSU

Select Term *

Year *

ACADEMIC INFORMATION

Have you attended BGSU before? *

When did you last attend BGSU?

List Highest Degree You Hold *

Year Granted *

College/University Name *

City *

State *

Certification of Information

I certify that the information hereon is complete, accurate and true to the best of my knowledge. I understand that my misrepresentation of facts hereon will cause for refusal of admission, cancellation of admissions or expulsion from the University if discovered subsequently. I agree that as a student I am subject to the Code of Student Conduct of Bowling Green State University. As a student enrolled in classes at Bowling Green State University, I agree to assume full financial responsibility for all charges incurred on my student account whether I attend classes or not. I further understand that my failure to be fiscally responsible may result in service holds, late fees, collection actions by BGSU, the Ohio Attorney General's office or other third party agency, unfavorable credit bureau filing and/or litigation and I will assume all costs associated with such actions.

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