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Request for Evaluation

The following form is meant for Kent campus students only. 

If you are a regional student, please use this Request for Evaluation (PDF) and contact your regional BIS advisor.

Name:
(last name, first name, middle initial)  
Kent State ID:
 
(9 digit Banner ID)  
Primary Phone:
   Secondary Phone:
  
Kent State email address:

(All University communications will use official KSU email address only.)   
Current Major:
  
Current College:
  
Campus Attending:
   G.P.A.:    Total Hours completed:
  
Last Term Attended:
   Currently Attending?
YES    
NO    
  

 

Please choose three areas of concentration for your program. At least one concentration must be in Arts & Sciences.

Concentration 1:
(Arts & Sciences)
  
Concentration 2:
  
Concentration 3:
  
Reason for Interest in BIS:


(In 500 words or less.)