This application is to be completed by any student who was once enrolled at RMC but did not complete all the courses required to obtain a degree.

Full Legal Name: 

Previous Name(s): 

Street Address: 

City, State Zip: 

Cell Phone: 

SSN#: 

Birthdate: 

Student's Email: 

When did you last attend Rocky Mountain College?

Which semester do you plan to attend Rocky Mountain College?

What year do you plan to attend Rocky Mountain College?

What course(s) are you anticipating to enroll?

From which High School did you gradate?

You must have official transcripts sent from all institutions attended since your last day at Rocky Mountain College. Please list the colleges below: 

Anticipated Major: 

Anticipated Minor: 

Anticipated Graduation Date:

Do the following apply to you?

If yes to the previous question, please explain:

Have you ever been convicted of a felony?

Attach essay if answered yes to being on probation, suspension, or dismissed from any college/university

Today's Date: