Student Agreement Request

To ensure the timely processing of your form, please enter all of the necessary information.

1. The following information is needed by academic advisors at Bismarck State College
to complete the Student Agreement.:

* Student's Name: this field is required

* Last 4 digits of SSN: this field is required

* Branch of Service: this field is required

* Pay Grade: this field is required

* MOS or Rating: this field is required

* Military Installation: this field is required

* Desired Degree: this field is required

2. Provide the names of the other college(s)/universities you have previously attended
Send your transcripts to: Bismarck State College, Attn: Admissions, PO Box 5587, Bismarck, ND 58506.:

3. List any CLEP/DANTES, DSST, etc, that you wish to have evaluated toward your degree:

4. I understand that by requesting a Student Agreement, I authorize Bismarck State College to provide copies of the Agreement and academic progress reports to the appropriate US military voluntary education offices.

* Day Phone: this field is required

Evening Phone (if different from day):

* Email: this field is required

* Signature: I certify to the best of my knowledge that the information on this form is true and
complete without evasion or misrepresentation: You need to check this item to proceed.

Yes

Admissions

Student Agreement Request

Resources For

Quick Links

Student Agreement Request | Bismarck State College

Admissions

Student Agreement Request

Resources For

Quick Links