MASSACHUSETTS PRIVATE COLLEGES
JOINT ADMISSIONS PROGRAM
INTENT TO ENROLL FORM
Please keep this attachment for your information
This form is to be completed by Springfield Technical Community College students who are working towards earning their Associate Degree in a Joint Admission
Program with the required GPA prior to enrolling at their intended private college.
Action Steps
1. When do I submit this form?
Early: keep in mind some academic programs reach their maximum enrollment early.
2. Where should I send this form?
Once you complete each item on the Intent to Enroll Form, send it to the following:
American International College
Admissions Office
1000 State Street
Bay Path University
Admissions Office
588 Longmeadow Street
Elms College
Admissions Office
291 Springfield Street
Springfield, MA 01109 Longmeadow, MA 01106 Chicopee, MA 01013-2839
Springfield College Western New England University
Admissions Office Admissions Office
263 Alden Street 1215 Wilbraham Road
Springfield, MA 01109 Springfield, MA 01119-2684
3. Is there anything else I need to do?
Immediately request an official copy of your academic transcript from the Registrar’s Office at STCC to be sent to the Admissions Office at the college that you intend to enroll. Once you have finished your last semester at
STCC, request another official copy of your academic transcript from the Registrar’s Office that shows you graduated, and send it to the College’s Admissions Office.
Please note: send official transcript(s) from any other colleges attended to ensure that all transfer coursework is evaluated for degree requirements.
Other Important Information

Make sure that you contact the private college where you plan to enroll to determine if
that college has a priority deadline and/or requires additional information.

International students must meet additional visa status and financial support
requirements (these requirements may vary from college to college).

If you were previously enrolled in a degree program at your designated private college,
you are NOT eligible for Joint Admissions.

STCC JA
Academic
Programs
Accounting
Biology
Biotechnology
Chemistry
Computer & IT
Security
Microcomputer
Specialist
Entrepreneurship
Programmer
Option
Computer
Science Transfer
Engineering &
Science Transfer
Finance
General Business
Transfer
Compact
Gen. Studies
Transfer
Law Enforcement
Liberal Arts
Transfer
Management
Marketing
Math
Nursing
Occupational
Therapy
Assistant
Physical Therapy
Assistant
Pre-Med
Teleproduction
Technology
Web Programming
Update: 3/2015
List is subject to change
American
International
College
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Bay Path
University
X
X
X
X
X
X
X
X
X
X
X
Elms
College
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Springfield
College
X
X
(INS Track)
X
X
X
(CS Track)
X
X
X
X
X
X
X
Western New
England
University
X
X
X
X
X
X
X
X
X
X
X
X
X

Joint Admissions Eligibility Criteria and Scholarship Information
American International College
Minimum number of credits
Associate Degree or 30 credits completed
Minimum GPA: 2.0
(Majors including, but limited to Nursing
Occupational Therapy and Physical Therapy have specific program requirements)
Transfer Academic Scholarships:
Cumulative GPA Award Amount
3.5-4.0 $12,000/year/full-time
3.0-3.49
2.50-2.99
2.49-2.0
$10,000/year/full-time
$ 8,000/year/full-time
$ 5,000/year/full
Joint Admissions Scholarships:
Students signing this agreement will be eligible for the following depending on the time of signing:
Up to 2 years at STCC $4,000/year/full-time
PTK Scholarships: an additional $1,000/year/fulltime. This is an additional scholarship for students who are members of PTK.
Bay Path University
Minimum number of credits:
Associate Degree or 12 credits
Minimum GPA: 2.0
(Majors including, but not limited to Forensic
Science, Education and Occupational Therapy have specific program requirements).
Transfer Academic Scholarships:
Cumulative GPA
3.75-4.0
Award Amount
$14,000/year/full-time
3.5-3.74
3.0-3.49
2.5-2.99
2.0-2.49
$12,000/year/full-time
$11,000/year/full-time
$10,000/year/full-time
$ 8,000/year/full-time
The above scholarships are for students residing on campus. Commuter students will receive $3,000 less each year.
$1500 Transfer Achievement award (1 st generation graduate)
PTK Scholarship: $ 1,500 renewable scholarship for students who are members of PTK. Community
College Transfer Grant: $1,000 per year.
Transfer students who graduate with a Bachelor’s degree and then pursue a graduate degree are eligible to receive a $2,500 grant per year.
Elms College
Minimum number of credits:
Associate Degree or 45 credits completed
Minimum GPA : 2.5
Transfer Academic Scholarships:
Cumulative GPA
3.5-4.0
3.0-3.49
2.5-2.99
Award Amount
$12,000/year/full-time
$10,000/year/full-time
$ 8,000/year/full-time
PTK Scholarships: $2,000/year/full-time. This is an additional scholarship for students who are members of PTK.
Springfield College
Minimum number of credits:
Associate Degree or 24 credits completed
Minimum GPA: 2.5
Transfer Academic/ Leadership Scholarships:
Cumulative GPA Award Amount
3.0-3.19 $ 6,000/year/full-time
3.2-3.49 $11,000/year/full-time
3.5-4.0 $14,000/year/full-time
These scholarships will be made available without regard to financial need. Scholarships will be based on the scholarship value available at the time of matriculation; therefore the amount may be larger .
Western New England University
Minimum number of credits:
Associate Degree or 24 credits completed
Minimum GPA: 2.3
Transfer Academic Scholarships:
Cumulative GPA Award Amount
3.5-4.0
3.0-3.49
$12,000/year/full-time
$ 9,000/year/full-time
2.5-2.99 $ 7,000/year/full-time
Phi Theta Kappa Additional $2,000/year*
Gr ades below a 2.5 GPA will be considered for a grant. *Scholarships will be based on the scholarship value available at the time of matriculation; therefore the amount may be larger. In addition, students must satisfy all program requirements for admission to Western
New England University.
Financial Aid: complete and file the Free Application for Federal Student Aid (FAFSA), available from any Financial
Aid office or you can visit www.fafsa.ed.gov. Have your financial aid information sent directly to the College that you intend to enroll.

Massachusetts Private College Joint Admission
Intent to Enroll Form
Massachusetts Private College: ______________________________________
The college/campus where you plan to enroll
Community College: Springfield Technical Community College
The community college where you will earn your Associate Degree
PERSONAL INFORMATION (Please print)
_____________________________________________________________________________
Last Name (Maiden or other name on record) First Name Middle
_____________________________________________________________________________
Number and Street Address City State Zip
_____________________________________________________________________________
Home Telephone Cell E-mail address
______________________________________________________________________________________
Social Security Number ( Last four digits only )
Gender (optional) Sex: Male Female
Ethnic Background (optional)
Are you a U.S. citizen?
Date of Birth: __________________________
American Indian or Alaskan Native
Asian or Pacific Islander (including Indian Subcontinent)
Black
Hispanic (including Puerto Rican)
White, Anglo, Caucasian American (non-Hispanic)
Yes No
If you are not a U.S. citizen, what is your status? Non-Immigrant
Will require a Student F-1 Visa
Immigrant, a green card holder
ADMISSIONS INFORMATION
When do you plan to enroll at this College? Fall Spring Year: ________
Will you be Full time Part time
What is your housing preference: College Residence Hall
( Answer if applicable)
Intended Major: ____________________________
Commute Off-campus
Will you be applying for financial aid? Yes (FAFSA required)
Are you interested in ROTC? Yes
No
No If yes, choose one: Army Air Force
Secondary Major: _______________________
Will you have an Associate’s Degree prior to enrolling at this College? Yes No
Expected date of graduation with Associate’s Degree: Month: _________ Year: __________
Are you a member of Phi Theta Kappa Honor Society?
Yes No
Associates Degree Major: _________________________________________________________________

Complete the next statement ONLY if you are submitting this form to American International College,
Springfield College and Western New England University.
Suspension Information:
Have you ever been suspended, dismissed, or expelled from an educational institution? ___Yes ___No
Have you ever been convicted of a felony (without the record being sealed or expunged)? ___Yes ___No
If you answered yes to either question, please provide an explanation on a separate sheet of paper.
*Please note that you may be asked to provide a College Report or Dean’s Report in addition to responding to the above questions.
College Information:
Please list any courses that you are currently enrolled:
Semester Course Number Title
(Please attach an additional page if necessary)
ACADEMIC INFORMATION
Please list all high schools and colleges you have attended.
Note : you must send official transcripts from all colleges attended.
Name of School City and State Date
__________________________________________________________________________________
Name of School City and State Date
__________________________________________________________________________________
Current Enrollment Status: Not Enrolled Enrolled
Signature:
I certify that the information above is complete and correct to the best of my knowledge and that I am the original author of any information that is directly requested of me. I understand that my acceptance and matriculation may be canceled if any information in support of my application is found to be false.
__________________________________________________________________________________
Applicant’s signature Date

Springfield Technical Community College participates in a Joint Admissions Program with private colleges.
The program guarantees admission to the college(s) of one’s choice, provided they meet the criteria on the document that is attached. Students seeking joint admissions into specialized programs, including, but not limited to Nursing, Occupational Therapy or Physical Therapy and Engineering, Business, Social Work,
Forensic Science and Computer Science must satisfy all program requirements and earn the minimum cumulative grade point average established for those programs.
Please check off the college(s) you would like to participate in Joint Admissions.
American International College _____ Bay Path University _____ Elms College _____
Springfield College _____ Western New England University _____
I,_________________________________________ (please print) hereby authorize Springfield Technical
Community College to provide essential academic information including but not limited to, my name, address, telephone number, academic transcripts, student identification number and other information contained in my student record; to the institution(s) indicated above. I understand that participation in this program does not obligate me to attend the selected institution(s) and does not prevent me from exploring other transfer options.
Address: __________________________________ City: _____________ State/Zip: _________
Student ID
__________________
Social Security Number:
(
Last four digits only) ___________
Date of Birth: ___________ Major at STCC: _____________________
Home Telephone: ______________________ Cellular Telephone: ____________________
Email Address: _________________________________________________________________
_________________________________
Signature
______________________________
Date
Please return form to: Pamela J. White, Director of Cooperative Education/Career Services & Transfer Affairs,
STCC, 1 Armory Sq., P.O. Box 9000, STE-1, Bldg 27, Room 265, Springfield, MA 01102-9000.