BCCTI Application Form Returning Student
Please note that the Admissions office will begin evaluation only when all application forms are complete.
電子郵件 *
Legal First and Last Name (Middle Initial if Applicable) *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
必填
CONTACT INFORMATION
The college uses a variety of media to notify students of upcoming events such as registration, class cancelations, room changes, etc. Please be sure to notify us if any of your contact information changes. 
Mailing Address (Street, City, State, Zip Code) *
Home Phone # *
Mobile Phone # *
By providing mobile number, you are giving permission to the college to send you text messages notifications.
Emergency Contact (Name and Phone #) *
EDUCATIONAL GOAL
I plan to begin my studies:
I plan to study:
ADDITIONAL INFORMATION 
APPICANT'S SIGNATURE *
I, Certify the information provided on this application is complete and accurate in every aspect. I understand that falsifying any part of this application may result in cancellation of my admission or dismissal from the college.  **Typing your name is an indication that you are signing this form**
Date *
MM
/
DD
/
YYYY
Check below the course(s) you would like to take this school year:
系統會透過電子郵件將你的作答內容複本傳送到你所提供的地址。
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