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New Mexico State University
College of Health & Social Services
Bachelor of Human & Community Services

Application Form for applicants to the the BCHS program

Please fill in all sections of the following form, and select the "Send form" button when you are through.

It is crucial that you send official transcripts
for all colleges you previously attended to the same address as your $20 fee
(NMSU Admissions Office, MSC 3A, P.O. Box 30001, 88003-8001).

A $20 undergraduate application (nonrefundable) fee will be assessed upon receiving this application.

Important note: Students who apply online are still responsible for the $20 application fee. The Admissions Office will not begin processing applications until the fee is received. To pay the fee, please send a check or money order for $20 to NMSU Admissions Office, MSC 3A, P.O. Box 30001, 88003-8001.

The student's name must appear in the memo line of the check, so that checks may easily be filed with each application.

If you would like to pay using a credit card, please call the Business Office at 505.646.4911, and if you are using someone else's credit card please make sure the Business Office representative knows the application for which the fee is being paid.

This Application is intended for United States Citizens.  If you are a student from a foreign country you must contact The Center for International Programs, at: cip@nmsu.edu.

Social security number:
   - -
Last name (use only legal name):
  
First name:
  
Middle name:
  
Please enter your e-mail address:
  
Your current mailing address:    
Street and number:
  
City:
  
State:
  
Zip code:
  
Telephone number:
  
Father
Your father's full name: 		   
Last:
  
First:
  
Middle:
  
Current mailing address:
    
Street and number:
  
City:
  
State:
  
Zip code:
  
Telephone number:
  
Mother
Your mother's full name:		    
Last:
  
First:
  
Middle:
  
Current mailing address:    
Street and number:
  
City:
  
State:
  
Zip code:
  
Telephone number:
  
Your date of birth:    
Month:
  
Day:
  
Year:
  
Sex:
   Female Male
Residency    
State of legal residence:
  
If you are a New Mexico Resident, please indicate County:
  
As of the date of this application, how long have you been living continuously in New Mexico?
   Years:    Months:    Days:
If less than 23 years of age, were you reported as a dependant on parent's or guardian's federal income tax return for last year?
   Yes No
Citizenship    
U.S. citizen Foreign Permanent resident
(an official copy of form I-551 is required for admission to NMSU for permanent residents)
Ethnicity    
This information is requested by government agencies to demonstrate compliance with the Civil Rights Act. Please check the box designating your predominant ethnic background. (Optional)
  American Indian or Alaskan Native
  Asian or Pacific Islander
  Black, non-Hispanic
  Hispanic
  White, non-Hispanic
  Race/ethnicity unknown
Enrollment Status*    
  (NS) First enrollment in ANY college or university
  (TW) Transferring to NMSU from another college or university IN NEW MEXICO
  (TO) Transferring to NMSU from another college or university OUTSIDE the state of New Mexico
  (RA) Readmission - returning after absence from NMSU or one of the NMSU branch colleges
  (--)Previously applied for admission to NMSU, but did not attend. What year?
  (Cl) Change of status -- IN school
  (Cl) Change of status -- readmission
Semester entering NMSU    
Fall    Spring    Summer I    Summer II    Interim
Year entering NMSU:
  
Campus where you plan to enroll
  Las Cruces Main Campus (BHCS applicants check here)
  Alamogordo Branch
  Carlsbad Branch
  Doña Ana Community College
  Grants Branch
  White Sands Residence Center
Degree expected at NMSU    
  Two-year Associate Degree
  Four-Year Baccalaureate Degree
  Second Undergraduate Degree
  Curriculum less than 2 years
Intended major field of study:
  
   
(Enter Human & Comm Serv if appyling for Bachelor of Human and Community Services)
High school last attended    
Name of high school:
  
Location (city and state):
  
Graduation date (or expected date):
  
If you are not a high school graduate, please give the date of the G.E.D. test
  
If your last name(s) at the time of attendance from the previous school and/or college(s) was different from the last name on this application, please indicate name(s) under which you were registered:
 
Have you attended a college or university since high school?
   Yes No
Previous colleges/universities attended
Academic regulations require that students who have registered at other colleges or universities may not disregard their records at such institutions when making application for admission to this university. Students concealing attendance at another college or university and not submitting a transcript from that college or university will be SUBJECT TO SUSPENSION.
Name of institution:
  
From:
  
To:
  
Location:
  
Name of institution:
  
From:
  
To:
  
Location:
  
Name of institution:
  
From:
  
To:
  
Location:
  
Name of institution:
 
From:
  
To:
  
Location:
  
     

Are you eligible to return to the last college or university attended?

   Yes    No
Have you been awarded a university degree?
   Yes    No
If yes, give degree
  
Year
  
Granting Institution
  
Did either of your parents graduate from a 4-year college or university?
   Yes No
Testing data    
NOTE: ACT SCORES ARE REQUIRED for beginning freshmen and also for transfer students who have fewer than 30 academic credits from any previous institution(s). SAT scores may be submitted in place of ACT scores.
    ACT   SAT
Date taken:
   Month Year
  Have not taken either ACT or SAT
     

Withholding information in this application, failure to submit all documents, or give false information may make you ineligible for admission to, or continuation at, New Mexico State University. With this in mind, upon submission of this document, you certify that all the above statements are correct and complete.

Incomplete applications will not be processed.

Any incomplete applications will be returned to the student for completion.

Please consider printing out this page
for your personal records
prior to clicking the "Submit" button.

The BHCS program currently is not appropriate for first-time freshmen. Required general education courses may not all be available yet via distance education at NMSU. First-time freshmen interested in the BHCS program should contact the College of Health and Social Services at (505) 646-3526.