Temporary Enrollment Agreement-365bet

High School/GED/HiSET Test Scores

Complete high school transcript showing graduation date

GED test scores

HiSET test scores

Official transcripts must be sent directly from your high school and/or your GED/HiSET testing center to the Admissions Office. Transcripts stamped issued to student are not official.

Colleges/University Transcripts

Total number of official transcript(s) from all previously attended colleges/universities

Total number of transcripts neededOfficial transcripts must be sent directly from your previously attended colleges and/or universities to the Admissions Office. Transcripts stamped "issued to student" are not official.

Academic Standing

Are you in good academic standing at previous college(s)?

Yes

No

Are you on probation?

Yes

No

Are you on suspension?

Yes

No

How many transfer credits do you have?

Military Transcripts

JST or CCAF. Required of all active duty military

DD214. Required of all veterans, reservists and National Guard.

Transcript Submission

Is there any reason you cannot have transcripts sent?*

Yes

No

To be officially admitted, you are required to have submitted an official transcript from each school you have previously attended. Is there any reason you cannot have your transcript(s) sent to 365bet by November 7, 2023 for Fall II Fort Campbell, or January 30 for Spring I Fort Campbell and Spring Clarksville campus?

If yes, please state why.

Submission

I understand that I have not been officially admitted and that I must supply the Office of Admissions with complete and official transcripts. I further understand that if I fail to do this or if my transcripts and/or scores of previous institutions fail to meet admission requirements, my temporary enrollment, course registration and grades may be cancelled, and I may be held responsible for some or all tuition and fee charges. This temporary admission status could affect the processing of my financial aid. I also understand that all financial aid will be cancelled and I will be responsible to repay any financial aid received. I will also be responsible for providing the 365bet Boyd Health Services department with documentation of two MMR vaccinations or immunity to measles, mumps and rubella and two Varicella vaccinations or proof of chickenpox at the time of my registration. I understand that I will not be eligible to pre-register or register for the next semester, or receive my grades and/or transcripts, until my admission file is complete. I hereby certify that I have read and clearly understand the above provisions of this Agreement for Temporary Enrollment.

Name*

Email Address*

Date of Birth*

Student Type*

Temporary Enrollment Agreement

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