Continuing Education Application

This application is for the following BHSU student types:

Non-degree seeking
Teacher certification
Returning students.

If, instead, you want to apply for undergraduate or graduate degree-seeking programs for the first time - or as a Transfer student from another college or university - please go to apply.bhsu.edu/apply.

What type of application are you pursuing?

Biographical Information

First Name (full, legal)

Preferred First Name

Middle Name

Last Name

Former/Maiden Last Name(s)

Birthdate

Citizenship

U.S. citizen

U.S. permanent resident

U.S. refugee or asylee

DACA, undocumented, Deferred Enforced Departure, Temporary Protected Status

Citizen of non-U.S. country

Contact Information

Email Address

Mobile Phone Number

Mailing Address

Country

Street

City

Region

Postal Code

Permanent Address

Same as Mailing Address

Country

Street

City

Region

Postal Code

Emergency Contact Information

First Name

Last Name

Phone Number

Email Address

Relationship to You

Academic & Residency Information

Have you lived in South Dakota for the past 12 months?

If you are a South Dakota resident, but you have not lived in South Dakota for the past 12 months, please explain.

Semester and year you wish to enroll:

Semester and year you wish to re-enroll:

Which campus/location do you plan to take most of your classes?

If you wish to register for a specific BHSU course(s) or section, please list it here.
You may search for upcoming available courses by CLICKING HERE.

When/Where did you last take classes from a South Dakota public university?

Have you attended any other post-secondary institutions after you discontinued enrollment at BHSU, regardless of length of attendance and even if no work was completed?

Will you be pursuing a degree?

What undergraduate degree/major will you be pursuing?

What graduate degree/major will you be pursuing?

Search for and select the institution you attended:

CEEB Code

Level of Study Attempted/Completed

Start Date of Attendance

End Date of Attendance

What would you like to pursue?

What is your proposed endorsement or recertificate?

Please specify 'Other':

The level at which you will be enrolling for credits is Undergraduate.

Have you ever enrolled at Black Hills State University or another South Dakota public university?

Certification of Accuracy

All answers I have given on this form are complete and accurate to the best of my knowledge. I understand that a readmission decision will be based on the information provided herein and other relevant academic and administrative information.

I agree.

Signature (type your full, Legal Name, in the box below.