UNIVERSITY OF CONNECTICUT
BACHELOR OF GENERAL STUDIES (BGS) ADMISSION APPLICATION
PREFERRED CAMPUS (select one)
Avery Point
Greater Hartford
Stamford
Storrs
Torrington
Waterbury
Application Procedure: Please complete each section of this application and submit it to your campus office by
mail, fax, email, or in person. For campus contact information, please visit: BGS.UConn.edu, or call 1-888-BGS5556. A $95 application fee, if applicable, must be sent to your preferred campus upon application submission*.
Checks should be made payable to the “University of Connecticut.” Request that your official high school
transcript and transcripts from each university you have attended be sent directly to your campus office.
International Students: Please contact your campus office before completing this application.
*Note: Fee is waived for Connecticut Community College graduates and students in schools and colleges within
UConn; other exclusions may apply. Contact your campus for details at 1-888-BGS-5556.
SECTION ONE: PERSONAL DATA
First Name:
Middle Initial:
Last Name:
Street Address:
Street Address II:
City, State, Zip:
Permanent/Foreign Address, if different:
Day Phone:
Evening Phone:
Cellular Phone:
Email Home:
Email Work:
Facsimile:
Country of Birth:
Country of Citizenship:
Date of Birth:
Social Security Number*:
Visa Status (if applicable):
*Your Social Security Number is optional on this form; however, it is required upon admission to the University.
GENDER
Male
Female
VETERAN STATUS
Are you a Veteran?
Yes
No
MARITAL STATUS
Single
Married
Widowed
Divorced
Separated
Number of Dependents:
Dates of Service
Active Service:
Separation:
Ethnicity and Race: Colleges and universities are asked by many, including the federal government, accrediting associations, college
guides, newspapers, and our own college/university communities to describe the racial/ethnic backgrounds of our students. In order to
respond to these requests, we ask you to answer the following question. This complies with the U.S. Department of Education’s standard for
ethnic and racial data collection.
ETHNICITY (please select one or more)
Puerto Rican
South American
Mexican American
American Indian or Alaska Native
Central American
Asian
Native Hawaiian or Pacific Islander
Black or African American
White
Other
Financial Aid: Applicants are encouraged to apply for financial aid at the same time as applying for admission. To be considered for financial
aid, you must complete the Free Application for Financial Aid (FAFSA). For more information about financial aid, visit: FAFSA..ed.gov.
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SECTION TWO: EDUCATIONAL BACKGROUND
High School:
City & State:
Graduation Year:
Please list all colleges and universities attended:
Institution
City & State
# of Credits Earned
Are you currently enrolled in any college or university?
Yes
No
Degree
Year
If “yes,” institution name:
If “yes, “ please reference courses below.
Do you have any courses in progress?
Yes
No
SECTION THREE: EMPLOYMENT BACKGROUND
Are you currently employed?
Yes
No
If “yes,” select general work schedule:
Days
Evenings
Please list your most recent employer.
Company
City & State
If “yes,” select general work status:
Full Time
Part Time
Title
Dates Employed
SECTION FOUR: PERSONAL ESSAY/STATEMENT OF OBJECTIVES
The personal essay is an opportunity for you, as a prospective student, to demonstrate your ability to write at the
college level. In your essay, please discuss your educational career, personal goals, and objectives. Please also
describe how you believe this degree program will help you to achieve your goals. All elements of a collegelevel essay should be included in your personal essay, including appropriate punctuation, grammar, and
spelling. Please type your essay below, include it as an attachment, or print a hardcopy to accompany your
application. The personal essay should be 1 – 2 pages in length.
SECTION FIVE: CANDIDATE’S STATEMENT
To the best of my knowledge, the information in this application is complete and accurate. I realize that failure to
disclose fully and accurately all facts related to my application may result in dismissal from the University of
Connecticut. If admitted, I will comply with all of the rules and regulations of the University of Connecticut. I
hereby grant the University of Connecticut authorization to examine my academic records.
Applicant’s Signature
Date
For those submitting this form electronically, I agree to the above statement:
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Date:
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