joint admissions program ======================== intent to enroll form this form is to be completed by massachusetts community colleg

JOINT ADMISSIONS PROGRAM
========================
INTENT TO ENROLL FORM
This form is to be completed by Massachusetts community college
students earning their Associate Degree in a joint admissions program
with a 2.5 GPA prior to enrolling at their intended State College or
UMass campus.
1.
W
Please save this top page for your records!!!
hen do I submit this form?
The Priority Deadlines are:
For Fall Entrance – March 1 (Framingham State – February 15)
For Spring Entrance – October 15.
You are encouraged to send your forms early. In a given year,
some majors may be especially popular and fill prior to these
deadlines.
2.
Where should I send this form?
Once you complete each item on the Intent to Enroll form, send it to
the Undergraduate Admissions Office at your intended State College or
UMass campus.
3.
Is there anything else I need to do?
Immediately request an official copy of your academic transcript from
the Registrar’s Office at your community college and have it sent to
The Undergraduate Admissions Office at the State College or UMass
campus where you plan to enroll.
Once you finish your last semester at your community college, request
another official copy of your academic transcript from the Registrar’s
Office that shows you graduated and have it sent to The Undergraduate
Admissions Office at the State College or UMass campus where you plan
to enroll.
Send official transcripts from any other colleges attended to insure
that all transfer coursework is evaluated for degree requirements.
OTHER IMPORTANT ENROLLMENT INFORMATION:
*
You should contact the State College or UMass campus where you
plan to enroll to determine if that campus has another priority
deadline and/or requires additional information.
*
International students must meet additional visa status and
financial support requirements (varies from campus to campus).
Failure to meet international admission requirements will negate
the Joint Admissions Program guarantee of admission.
*
If you were previously enrolled in a degree program at your
designated State College or UMass campus, you are NOT eligible for
Joint Admissions.
*
If you have attended another college since completing your degree,
you are NOT eligible for Joint Admissions. You should submit an
admission application.
TUITION ADVANTAGE PROGRAM (TAP):
*
To qualify for TAP: You must be a Joint Admissions participant,
complete all Joint Admissions requirements, graduate with a 3.0
cumulative GPA and enroll at a State College or UMass campus
within one year of graduating from your community college.
Continuing education and evening program students are not
eligible.
*
You must request an official copy of your final transcript,
listing your graduation date, degree and final cumulative GPA.
Failure to submit a final transcript disqualifies you from TAP
eligibility.
*
Once your community college forwards the TAP Certificate of
Eligibility to the State College or UMass campus that verifies you
have met the TAP requirement, you will receive a 33% discount on
the in-state tuition rate for one year.
*
Your tuition discount will be credited to your bill when
eligibility is confirmed or a check for the amount will be sent to
you. Depending on when you submit your final transcript and the
colleges complete the verification process, this may not happen
until after the semester has started.
OTHER IMPORTANT TAP INFORMATION:
*
You must enroll at a Massachusetts State College or UMass campus
within one year of graduating from your community college in order
to receive the TAP discount.
*
Your discount only applies to the Massachusetts tuition rate. You
will not receive a discount on the fees charged by the State
College or UMass campus.
*
If you are not a Massachusetts resident, your TAP discount will be
equivalent to that of a Massachusetts resident (one-third of the
in-state tuition) and you will receive your discount based on the
Massachusetts resident tuition rate.
*
The tuition discount is based on the Massachusetts tuition rate
charged for the number of credits in which you enroll.
*
You will be eligible to receive the tuition discount for a second
year provided you earn a cumulative GPA of 3.0 after your first
year at the State College or UMass campus.
FINANCIAL AID:
*
Complete and file the Free Application for Federal Student Aid
(FAFSA), available from any financial aid office, or the FAFSA
renewal form. FAFSAs received after March 1 will be considered
late and processed based on the availability of aid.
*
Priority Deadline to file the FAFSA: March 1, if submitted
electronically. If you are mailing your form, you should send it
by February 15. Go to www.fafsa.ed.gov.
JOINT ADMISSIONS PROGRAM
Intent To Enroll Form
State College or UMass Campus:
The college/campus where you plan to enroll
Community College:
The community college where you will earn your associate degree
STUDENT INFORMATION
Name:
 
 
 
 
Last/Family
First
Middle
(Other name that may appear on records)
Mailing Address:
 
Street Address (including apartment #, if applicable)
 
 
 
City
State
ZIP
Permanent Address:
 
If different from Mailing
Street Address (including apartment #, if applicable)
 
 
 
City
State
ZIP
Phone/Email:
 
 
 
Cell Phone
Home Phone
Email Address
Date of Birth:
 
Social Security #:
  -   -  
Gender (optional):
Female Male
Veteran?
No Yes (Attach DD214)
Residency:
In-State Out-of-State
Country of Birth:
 
Citizenship:
U.S.
Permanent Resident:
Green Card Registration #:
 
Date Issued:
 
Attach copies of both sides of alien registration card.
International Student:
Visa Type:
 
Note: International students must meet additional visa status and
financial support requirements (vary of campus to campus). Failure to
meet international admission requirements will negate the Joint
Admissions guarantee of admission.
Ethnic Information (optional):
American Indian/Alaskan Native
Cape Verdean
White/Non-Hispanic
Asian/Pacific Islander
Hispanic
Other:  
Black/Non-Hispanic
Multiracial
INTENDED ENROLLMENT INFORMATION
Intended Enrollment Status:
Full-time -or- Part-time
Day Program -or- Evening Program*
* Please check with your intended college/campus to verify that your
Joint Admissions program is a designated evening program. TAP is not
awarded for evening program enrollment.
Planned Entrance:
September 20  -or- January 20 
Year
Year
Intended Major:
 
Second Choice*:
 
* Required for education majors. Date of CLST:  
Intended Housing Type:
On-Campus (not guaranteed) Off-campus Commuter
CURRENT ENROLLMENT INFORMATION
Previous Colleges Attended (if more than two, attach separate sheet):
College/University
City/State
Dates Attended (MMM-yyyy)
Degree Earned
 
 
  to  
 
 
 
  to  
 
Current Enrollment Status:
Not Enrolled (skip Current Courses section) Enrolled
Current Courses (if more than four, attach separate sheet):
Course Title
Semester/Year
# of Credits
 
 
 
 
 
 
 
 
 
 
 
 
Anticipated Summer/Intercession Courses (if more than two, attach
separate sheet):
Course Title
Semester/Year
# of Credits
 
 
 
 
 
 
Expected Date of Graduation with Associate Degree (MMM-yyyy):
 
Associate Degree Major:
 
Advanced Placement and/or CLEP Examinations:
Please list all Advanced Placement tests on which you received a score
of 3 or higher and/or all CLEP examinations you have taken or plan to
take prior to enrollment. Please arrange to have official results
forwarded directly to the institution.
Advanced Placement:
 
CLEP:
 
DISCLOSURES
Complete the next statement ONLY if you are submitting this form to
Bridgewater State College, Fitchburg State College, Framingham State
College, Salem State College, Westfield State College, Worcester State
College, UMass Amherst, UMass Boston, UMass Dartmouth, or UMass
Lowell:
Have you ever been placed on probation, suspended, or refused
readmission to any other college or university?
Yes No
If Yes, please enclose an explanation on a separate sheet. If the
reason was other than academic, the transfer counselor or appropriate
dean must also submit a letter of explanation. Your file will be
considered incomplete without this information.
Complete the next statement ONLY if you are submitting this form to
Bridgewater State College, Fitchburg State College, Framingham State
College, Massachusetts College of Liberal Arts, Salem State College,
Westfield State College, Worcester State College, UMass Boston, UMass
Dartmouth, or UMass Lowell:
Have you ever been convicted of a felony?
Yes No
If Yes, please enclose an explanation on a separate sheet.
All students must complete the following:
The institution reserves the right to withdraw without notice any
application which is not complete. By my signature, I certify that the
information I have provided about my academic and personal history and
residency is accurate and complete. Failure to disclose any required
information may result in denial of admission or retroactive
administrative withdrawal without refund or course credits.
I understand that information about the applicant that is submitted
will be kept confidential and that, by participating in the Joint
Admissions Program, I consent to the release of my student education
records between the Massachusetts Community College I am currently
attending and the Massachusetts State College, or the University of
Massachusetts campus, at which I intend to enroll or to educational
agencies and institutions for research purposes.
My signature below authorizes my Massachusetts Community College to
release my final transcript. I understand that it is my
responsibility, once final grades are made available, to contact my
Massachusetts Community College to arrange to have my final transcript
sent to my intended State College or University of Massachusetts
campus.
Signature:
Date:

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