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BSMS Application Form for Admission

To submit an application to our school, please complete the following form and select Submit Application.

= Required

By submitting this online application, I certify this information is true and complete to the best of my knowledge. Falsification of information on this application could jeopardize admission and enrollment. I authorize any schools or colleges I have previously attended to release personal and academic information to Rockford University. Further, I agree that my college grades will be used for statistical studies or sent to my high school for evaluation purposes.

Personal Information
Address Information
    1.  
Contact Information
  1. Phone Type Country Phone Number Primary
Demographic Information

The following information is being collected for statistical purposes only. This information will not be considered for Admission purposes.

Ethnicity and Race Information

The following information is being collected for statistical purposes only. This information will not be considered for Admission purposes.

  1. Are you of Hispanic/Latino ethnicity or descent? Yes No
    Select one or more races with which you identify yourself:
    American Indian or Alaska Native
    Asian
    Black or African American
    Native Hawaiian or Other Pacific Islander
    White
Citizenship Information
Academic Information
  1. Program Commitment
Residency Preference
Emergency Contacts

Employment
  1. Employer Name Position Start Date End Date
Education History

  1. Degrees

     

Relatives

How Did You Find Out About Us?

School Policy
  1. Select "I accept" to confirm that you have read and fully understand the terms and conditions set forth in our Application Policy

    I do not accept I accept