Adult/Nontraditional Application

Personal Information

First Name

Preferred First Name

Middle Name

Last Name

Suffix

Other Last Names Used (list maiden first if applicable)

Primary Citizenship

Dual Citizenship (if applicable)

Are you a U.S. Permanent Resident?

Notice: Please submit a Traditional application at https://connect.betheluniversity.edu/register/TRADapp.

Current Visa Type

SSN

Planning on using aid from the FAFSA? Your SSN will be required.

Hispanic/Latino

Marital Status

Permanent Address

Country

Street

City

Region

Postal Code

Mailing Address

Same as Permanent Address

Country

Street

City

Region

Postal Code

Email

Mobile Phone

I give permission for Bethel University to send me important updates via text messaging. (Standard message charges apply).

Gender

Birthdate

Birth Country

Birth City

Enrollment Information

Select one:

First Time Freshman = You are going to college for the first time since high school graduation.
Transfer = You have attempted classes at another college/university since graduating from high school. If you withdrew from another college please also select this option.
Non-Degree Seeking/Special = You plan to take 1-3 classes but not enroll in a degree program
Guest = You attend another college/university and would like to take a course or two at Bethel to transfer back to your current school.

Primary Major

Pre-BSN Completion & BSN- Completion is designed for RN's who need to complete a Bachelor's degree in Nursing

Do you hold an active, unencumbered RN nursing license?

What is your nursing license number?

Are you eligible to take the NCLEX to become licensed

Notice: Please submit a Traditional application at https://connect.betheluniversity.edu/register/TRADapp.

When do you plan to take the NCLEX?

Primary mode of study

Start Term

Full/Part Time

Financial Aid

Are you eligible to apply for the FAFSA?

Will you be filing, or have you already filed, the FAFSA?
The adult & graduate programs have a reduced rate of tuition so all aid comes from the FAFSA. If you have questions, check with your admission counselor. To be eligible for federal and state aid, a FAFSA must be filed. Bethel's school code is 001787. Please file at StudentAid.gov.

Do you plan to use military benefits to help pay for college?

Are you an active or retired veteran?

Which military benefits do you plan to use? Check all that apply

GI Bill

Yellow Ribbon

Chapter 35

Vocational Rehabilitation Services

Academic History

High School Information

School Name

School City

School State

GPA

Graduation Date

Have you attended a college/university that awarded you dual enrollment credits?

Dual Enrollment College Information

Dual Enrollment College #1

School Name

School City

School State

Add Dual Enrollment College

Dual Enrollment College #2

School Name

School City

School State

Add Dual Enrollment College

Dual Enrollment College #3

School Name

School City

School State

College Information

College #1

School Name

School City

School State

Degree

GPA

Start Date

End Date

Add College

College #2

School Name

School City

School State

Degree

GPA

Start Date

End Date

Add College

College #3

School Name

School City

School State

Degree

GPA

Start Date

End Date

Add College

College #4

School Name

School City

School State

Degree

GPA

Start Date

End Date

Add College

College #5

School Name

School City

School State

Degree

GPA

Start Date

End Date

Church Family Information

Church Name

Church Denomination (if you know it)

Missionary churches have districts. If you know yours, select it here, if not, you may leave it blank.

Church Address (if you don't know the address, please tell us the city, state/region, & country

Disciplinary History

Have you ever been found responsible for a disciplinary violation at any school attended, whether related to academic or behavioral misconduct, that resulted in your probation, suspension or expulsion from the institution?

Please provide the date of each incident, explain the circumstances and reflect on what you learned

Have you ever been convicted of a felony or misdemeanor or have a pending court case? Do not respond YES if the conviction has been sealed or resulted in youthful offender status.

Please provide the date of each incident, explain the circumstances and reflect on what you learned

More Info

How did you first hear about Bethel?

Please Explain

Is there anything else you would like us to know about you?

If you would like to upload an unofficial copy of your transcript, you may do so now. Or you can upload it to your Application Status Portal after submission.

Signature

As a Christian community of learners, Bethel students voluntarily agree to abide by the policies outlines in the Adult/Graduate Students Student Handbook Student Handbook.

By signing below:

I certify that the information submitted in this application is complete and correct to the best of my knowledge.
I understand that the submission of false information may result in withdrawal of admission, dismissal from the university or other appropriate disciplinary action.
I authorize the university to verify the information provided with all schools I have attended and agree to notify the Admission Office if there are any changes in the information provided.
I give my school(s) permission to send my official high school transcript(s) to Bethel University.

In place of your signature, please type your full legal name:

Today's Date