Student Name
Mailing Address
African American
American Indian or Alaskan Native
Native Hawaiian or Other Pacific Islander
Are you Hispanic/Latino?
Are you a first generation college student (your parent(s)/guardian(s) did not attend college)?
Do you have a family member who attended or graduated from Bluefield State College?

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Disclosures Check
I declare that the information I have supplied on this application is complete, truthful, and correct and authorize BSC to verify the information given on this application.
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