BU-X Application

Personal Information

First Name

Preferred First Name

Middle Name

Last Name

Suffix

Other Last Names Used (list maiden first if applicable)

Permanent Address

Country

Street

City

Region

Postal Code

Mobile Phone

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

Gender

Birthdate

Birth Country

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

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.

Did you attend classes at Bethel after high school graduation?

Notice: You need to complete a re-enroll form at https://bethel-university.formstack.com/forms/reenrollment.

Will you be the first person in your immediate family to earn a college degree?

Select which BU-X location you are applying to

Major

Start Term

Full/part time

Full-time is a minimum of 12 credit hours/semester

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

Please include all colleges where you took classes

College #1

School Name

School City

School State

GPA

Start Date

End Date

Add College

College #2

School Name

School City

School State

GPA

Start Date

End Date

Add College

College #3

School Name

School City

School State

GPA

Start Date

End Date

Add College

College #4

School Name

School City

School State

GPA

Start Date

End Date

Add College

College #5

School Name

School City

School State

GPA

Start Date

End Date

Relationships

Parent/Guardian #1

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Type

Parent/Guardian Email

Parent/Guardian Phone

Did this parent graduate from Bethel?

Parent/Guardian #2

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Type

Parent/Guardian Email

Parent/Guardian Phone

Did this parent graduate from Bethel?

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?

Signature

As a Christian community of learners, Bethel students voluntarily agree to a Community Lifestyle Covenant and Student Handbook which outline expectations of life together.

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