Bevill State Community College
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Online Admissions Application

Please fill out the form below to apply for admission at Bevill State Community College online. The form must be completed in its entirety. Additional information about the admissions process is provided in the sidebar to the right.

 
Application for Admission: GENERAL INFORMATION
 
Social Security Number
Have you previously attended Bevill State?
Yes     No
First Name
Middle Name
Last Name
Any Additional Names in which records might be listed?
Date of Birth
/ /
City or County of Birth
State of Birth
     
Mailing Address
Apartment or Suite No.
County
City
State
Zip
Home Phone Cell Phone  
Email Address Confirm Email Address
 

Current Employer
Employer Phone Full-Time or Part-Time?
Full     Part
Current Employer Address
Suite or Office No.
 
City
State
Zip

In case of emergency, contact:
Relationship to Student:
Phone
Address
Apartment or Suite No.
 
City
State

Zip

Are you a veteran?
Yes     No

Will you receive veteran's benefits?
Yes     No
     
ALABAMA RESIDENCY
Resident   
Non-resident
CITIZENSHIP
U.S. Citizen
Exchange Student
Resident Alien

Foreign Student VISA
Other VISA (Specify):
     
     

RESIDENCY STATEMENT

Please check the statement that applies to you.
I have lived in the State of Alabama for at least the last 12 months, I certify that the address above is my residence, and I intend to remain at this address indefinitely. Students may not attain resident student simply by attending school for twelve months in the State of Alabama.


I currently live in one of the following counties of Mississippi that is within the 50-mile radius of the campus that I wish to attend, I certify that my residence is the address and county provided above, I intend to remain at this address indefinitely.
Chickasaw
Lowndes
Prentiss
Clay
Monroe
Tishomingo
Itawamba
Noxubee
Lee
Pontotoc


I do not currently live in the State of Alabama, and I am considered an Out-of-State student. I certify that I do not meet any requirements to be classified as an in-state student. An out-of-state student may not attain resident student status simply by attending school for twelve months in the State of Alabama.


I have currently lived in the State of Alabama for less than 12 months. However, I certify that I posses "more substantial connections" with the State of Alabama than any other state at the time of this application. I further certify that the address above is my residence, and I intend to remain at this address indefinitely. You are required to provide sufficient documentation to the Admissions Coordinator. The Admissions Coordinator must certify all documentations before the in-state tuition rate is official.
     
 
FOR STATISTICAL PURPOSES ONLY
Are you Hispanic or Latino?
Yes   
No
What is your race? Check all that apply.
American Indian/Alaskan Native (I)
African American (B)

GENDER

Female
Male
Native Hawaiian or Other
      Pacific Islander (P)
Asian (A)
White (W)
   
     
Application for Admission: EDUCATIONAL INFORMATION
     
Name of High School
City
State
Did you graduate high school?
Yes     No
If yes, what year?
If no, last grade completed?
Indicate type of diploma:
Certificate of Attendance
Standard
Advanced
Occupational
     
Did you receive a GED?
Yes     No
If yes, what year?
If yes, where?
     
Do you have prior college experience? Yes     No

If yes, please list all colleges and universities previously attended. Official transcripts from all previously attended colleges and schools must be sent directly to the appropriate Office of Student Services at
Bevill State.

  School/College City State Start Date
End Date Degree?
Name Under Enrollment
  -
  -
  -
  -

Are you on suspension from any college or university previously attended?
Yes     No

Note: Any applicant who is on suspension from another institution must submit a written appeal for admissions to the Campus Director of Student Services requesting permission to enroll.
     

      EDUCATIONAL GOALS


      What major/program do you plan to pursue?

      What is your enrollment goal?
Associates in Arts (Academic Transfer)
Associate in Science (Academic Transfer)
Associate in Applied Science
Certificate
Transient
Dual Enrollment High School
High School Early College Enrollment Program
Accelerated High School Student
Professional/Self-Improvement
Audit (Non-Credit)

Projected Term Enrollment?   
Your Preferred Campus?   


     
By submitting this application, I certify that I comply with the provisions of the United States Military Selective Services Act (50 U.S.C. App 453) by having registered with the Selective Service Boards, or that I am not yet 18 years of age and I will register, or that I am not required by law to register.

I hereby attest that the information given above is accurate and complete to the best of my knowledge. I understand that submission of false or misrepresented information subjects me to refusal for enrollment, to dismissal, or to suspension as a student at Bevill State.

I do hereby release and absolve Bevill State and its instructors or agents of any liability that might occur as a result of accidental injury during my tenure as a student. I further agree to assume responsibility for payment of tuition and fees, where applicable, as adopted by the Alabama State Board of Education.

By my signature, I understand and agree that BSCC will confer upon me all appropriate certificates and degrees for which I will become eligible upon the completion of program requirements.

Enter Your Initials as a Digital Signature
 
Authentication
Type the characters you see in the picture below.



 
 
It is the policy of the Alabama Board of Education and Bevill State Community College, a postsecondary institution under its control, that no person shall, on the grounds of color, disability, sex, religion, creed, national origin, or age, be excluded from participation in, be denied the benefit of, or be subject to discrimination under any program, activity, or employment.


Admissions Process

  1. Complete the Online Bevill State Application for Admission. Applicants for Health Science programs must complete additional program application form available in the Office of Student Services.

  2. Submit an official copy of high school transcript or GED certificate or college transcript(s) to the campus where classes will be taken. Transcripts must be on file prior to the first term of enrollment.

  3. Students who have graduated from a non-accredited high school or received an Alabama Occupational Diploma must score a minimum of 16 on the ACT or equivalent score on the SAT, or successfully passed the GED exam. Documentation must be submitted to the attention of: Office of Student Services.

    Fayette Campus
    2631 Temple Avenue North
    Fayette, Alabama 35555

    Hamilton Campus
    P.O. Drawer 9
    Hamilton, AL 35570

    Jasper Campus
    1411 Indiana Avenue
    Jasper, Alabama 35501

    Sumiton Campus
    P.O. Box 800
    Sumiton, Alabama 35148

  4. Contact the Office of Student Services to schedule an appointment to take the COMPASS placement test. Students who can provide documentation of ACT subtest scores of 20 in Math and 20 in English on the same score report and are enrolling in BSCC within three years of high school graduation should contact the campus testing coordinator to review placement.


Additional Requirements

Transfer students must submit official copies of all college transcripts.

Transient students must submit an authorized Transient Student Form from the degree-granting institution.

Accelerated high school students must have an overall "B" average, be in grade 11 or 12 and submit a Special Admissions Approval Form authorized by the high school principal or counselor prior to enrollment. Dual Enrolment/Dual Credit student applications must have an overall "B" average as earned in standard, regulation high school courses, normally leading to the high school diploma, be enrolled in grade 10, 11, or 12, and must have written approval of the Principal, local Superintendent of Education, and the President of Bevill State Community College prior to enrollment. Six semester credit hours at the post-secondary level shall equal one credit at the high school level in the same or a related subject. The applicant must meet the entrance requirements established by Bevill State. The Early College Enrollment Program (ECEP) allows students to work toward a technical college degree or certificate while completing their high school graduation requirements. To enroll, students must complete college admission requirements and receive approval from their counselor, principal and superintendant to enroll in ECEP. In addition, students must have at least a 2.5 GPA on a 4.0 scale, pass the high school exit exam before the 12th grade, and take the COMPASS test with placement in MTH 100 and ENG 101. Once accepted, students must enroll as a full-time student of Bevill State with at least 12 hours each semester and maintain a 2. GPA.

Students wishing to apply for admission under the provision of the State Plan for Exceptional Children and Youth must contact the Office of Student Services for additional information.

Some programs require a minium ACT score to be on file prior to consideration for admission. Contact the Office of Student Services for specific program requirements.

Have Additional Questions?


Fayette Campus
205-932-3221 ext. 5100

Hamilton Campus
205-921-3177 ext. 5300

Jasper Campus
205-387-0511 ext. 5700

Sumiton Campus
205-648-3271 ext. 5400