Bismarck State College: Military Education: Course and Degree Offering : Student Verification

Student Verification Verification may allow you to begin taking energy classes without the math assessment for the program. Verification also helps us to better assist you in reaching your educational goals. Students must complete the verification form. * Required Fields
* 1. First Name
* 2. Last Name
* 3. Date of Birth (00/00/0000)
* 4. Student's Email Address
* 5. What program are you interested in? Hold down the control key to select more than one answer.
* 6. Student type	Degree-Seeking with BSC (Students who wish to complete an Associate degree, Certificate or Diploma are considered Degree-Seeking Students at Bismarck State College.) Non-Degree Seeking with BSC (Students who are taking courses: as a part of the Air Force GEM Program; from another institution or not a part of any degree curriculum; taking part of their company's training requirements; or to complete NERC CEHs are considered non-degree seeking students at Bismarck State College.)
* 7. Military Status	Active Previous Non-Military
* 8. Check all that apply	Prime Power Reserves National Guard None
9. Most recent fort/base stationed
* 10. Branch of Service (If not applicable please enter "n/a")
* 11. Company Name (Industry employees ONLY, if not applicable please enter "n/a")
12. Supervisor's Name
13. Supervisor's Phone Nbr
14. Supervisor's Email
* 15. Current position title
* 16. Length of employment in industry or service in Military (Please list in years):
* 17. Job description and/or military occupational specialty/rating:
18. How did you hear about us...? (Hold the Ctrl key to choose more than one answer)	New Answer


	Bismarck State College \| PO Box 5587 \| 1500 Edwards Ave Bismarck, ND 58506 \| 1-877-BSC-1939 (272-1939)		Privacy Policy \| Disclaimer \| Security Policy \| Site Map copyright ©2010 Bismarck State College designed and programmed by inet technologies