Beal University Application

Please do not complete this application if you have not met with Admissions within the last six months. Contact us today at 207.307.3900 or complete this quick form.

Name: *

First

Middle

Last

Prior Name:

First

Middle

Last

Social Security Number/ Social Insurance Number: *

Date of Birth: *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Do you own a mobile phone?: *

Phone Number: *

Email Address: *

Gender:

Are you a US Citizen?: *

Ethnicity: *

Program: *

Location: *

Are you looking to transfer any credits to Beal from your previous college(s)?: *

Have you completed your FAFSA?: *

How did you hear about Beal?: *

Education Level: *

Name of High School you attended: *

High School Graduation Date: *

Have you applied to Beal before?: *

Desired Start Date: *

Have you taken any classes at Beal before?: *

Marital Status:

Have you attended any other Post-Secondary Institution? (please list them):

Did your parent or guardian attend College/University? *

Are you attending Beal: *

Full Time (2 or more classes per MOD)
Part Time (1 class per MOD)

Have you ever been convicted of a felony?: *

Emergency Contact Name *

First

Last

Emergency Contact Phone: *

Relationship To You: *

Reference Contact Name: *

First

Last

Reference Contact Phone: *

Reference Contact Email Address:

Relationship To You: *

Who is your Beal Admissions Representative?: *

Event Code (if applicable):