BCC 2018-2020 Application

Blackfeet Community College

Admissions Application
Name: *

First Name Last Name
1. Apply for Admissions:(A complete admissions file is required prior to registration, and includes the following)
- BCC Application for Admissions. (Complete each section)
- Application Fee $30. (Non-refundable one-time fee)
- Declaration of Major form.
- Official high school transcripts or official GED/HiSET Scores
- Immunization records for students born after 12/31/1956 (Must have 1st & 2nd MMR)
- Official tribal certification of Indian blood
- Official college transcript(s) from all colleges you have attended, if you intend to use previously earned credit towards BCC graduation. Your transcripts need to be official and sent from the college directly to BCC in a sealed envelope. (If applicable)
Upload Required Documents Here. (If would rather mail or submit your documents in person please contact alismith@bfcc.edu prior to registration)

Cancel of
Recent High School/HiSET Graduates:
- Fill out First Time First Semester Tuition waiver if you qualify
First Time First Semester Tuition waiver
If you qualify, you can upload the First Time First Semester Tuition Waiver here.

Cancel of
2. Assessment and Advising:
- New, transfer and former students must attend student orientation.
- Take a Accuplacer assessment with Student Success.
- Meet with advisor to go over program of study and education planner.
3. Apply for Financial Aid & Scholarships:

Financial Aid: Financial Aid Officer: 338-5441, extension 2245 Please apply and/or update your financial aid as soon as possible. Complete the Free Application for Federal Student Aid (FASFA) www.FASFA.ED.GOV. Complete the form online or apply in person at theBCC financial aid office. BCC’s school code is 014902.

Scholarships: Financial Aid Specialist (Ext. 2246) BCC offers scholarships every fall and spring semester. For more information, please contact the financial aid office.
Questions: Contact Admissions/Registrar Staff

Admissions Officer: alismith@bfcc.edu
Admissions: extension 2243
Registrar Assistant/Data Collection Technician: extension 2244
Registrar: 406-338-5421, extension 2248
Toll Free Number: 1-800-549-745

Personal Information
Student ID Number:
Full legal name: *Name should reflect what is displayed on S.S. Card: *

First Name Middle Name Last Name
Social Security Number: *
Please enter SSN with no dashes. Example: 111111111
Date of birth: *

Month Day Year
Gender: *

Male Female
Birthplace: *
Mailing Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Physical Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Email: *
example@example.com
Phone Number: *
Please enter a valid phone number.
Cell Number: *
Please enter a valid phone number.
Emergency Contact: *

First Name Last Name
Phone Number: *
Please enter a valid phone number.

Disability Information
If you have a disability and may require accommodations, please submit a confidential written request for disabilities accommodations.Written documentation of the disability is required. All documentation will be confidential and used only in accordance with federal regulations; Section 504 of the Rehabilitation Act and Americans with Disabilities Act.
BCC Disabilities coordinator
Beaver Painted Lodge – Student Success Center
P.O. Box 819
Browning, Mt 59417
(406) 338-5421 Extension 2233
Safety and Security

(All applicants must answer these questions)
Have you ever been convicted of a felony (please include instance of deferred sentencing): *

Yes No
A felony in Montana State Law is defined as a crime for which more than one year in prison may be imposed.
Have you been subjected to court-ordered confinement for threatening or causing physical or emotional injury to person or property: *

Yes No
Have you ever been disciplined, suspended from, or placed on probation at any higher education institution for non-academic reasons: *

Yes No
Suspension is defined as a sanction imposed for disciplinary reasons that result in a student leaving school for a fixed time period, less than permanently. Dismissal from a college for disciplinary reasons is defined as a permanent separation from an institution of higher education based on conduct or behavior.
Have you ever been required to register as a sexual or violent offender: *

Yes No
If you answered “yes” to any of the above questions, please provide an explanation with the application. Failure to do so will delay the processing of your application. An affirmative response to any of these questions will not automatically prevent admissions, but you will be asked by the College to provide additional information. Campus security will review this information to ensure campus safety. Any falsification or omission of data may result in a denial of admission or dismissal. To ensure adequate evaluation of your file, this application and all supporting documentation must be received thirty days before the beginning of your enrollment term.(Please note: this applies to only those who indicate “yes” to any of the above Safety & Security questions) *
Blackfeet Community College invites all current and prospective students to read the Annual Campus Security and Safety Report located on our website at www.bfcc.edu. All current and prospective students are required upon admission to the college to take training in accordance with requirements of the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act.

Disclosure Information
In accordance with the Family Educational Rights & Privacy Act of 1974, the Registrar informs students that the college may disclose information from the educational record of a student who is or has been in attendance at Blackfeet Community College. The following information is considered by the college to be public in nature: name, address, telephone number, year in school, major, scholarship(s)awarded, degree(s) conferred, Honor(s) granted, dates attended.

Students have the right to refuse to permit the college from disclosing the above information. This is an “all or nothing” policy. The student may not select certain information or certain circumstances for non-disclosure. The student’s name will not appear on any lists released to third parties, including honor rolls and will NOT receive emergency messages. Students must fill out a “FERPA Privacy Rights Request Form” (from the Registrar’s Of ice) to refuse to permit the college to disclose the above information.
Media Release
I, the undersigned, consent and grant to Blackfeet Community College, and its designees all rights to use my name, portrait, picture, photograph or likeness of same at its discretion for internal & external presentations and community development-related external promotions for BCC without further notice to me. I hereby waive any inspection or approval of any internal presentations and/or external community development related promotions in which my name/photos appears; I release BCC from any liability for any claim of visual alteration, optical illusion or faulty mechanical reproduction. I hereby waive all legal claims to compensation or receipt of consideration from the rights granted by this consent and further acknowledgment that this consent is valid. I warrant and represent that I am over the age of eighteen and have given this consent voluntarily.
Applicants complete legal signature *

Clear
Date: *
Signature Verification
I, hereby certify that, to the best of my knowledge, the foregoing information is true and complete without evasion or misrepresentation. I understand that if it is later found otherwise, it is sufficient cause for rejection or dismissal. If my application for admission is approved, I agree to abide by the present and future rules and regulations, both academic and non-academic, and the scholastic standards stated in the catalog. I further acknowledge that if I fail to adhere to these regulations or meet these requirements, my registration may be canceled.

If I am admitted to BCC, I agree to pay all tuition, fees, fines, and debts to the college that may be incurred by me, I understand that BCC will take action against me to collect any unpaid debts, including withholding of registration, grades, transcripts, degree(s) and an assignment of the debt for collection, and I will be responsible to pay any costs incurred to collect the debt.
Applicants complete legal signature *

Clear
Date: *
Should be Empty:

Blackfeet Community College

Personal Information

Ethnicity Information

Residency Information

Disability Information

Safety and Security

Academic History

Education Information

2018 - 2020 Declaration of Major Form

Statistical Information

Veteran Inforamtion

Disclosure Information

Media Release

Signature Verification