Re-Activation of BSC Application

    Contact Information
    Mailing Address
    Mailing Address
    Other Information
    Date Entered
    Date Entered
    Date Left
    Date Left
    Graduation Date (if applicable)
    Graduation Date (if applicable)
    I certify that the above information is accurate and complete. If my application is approved, I agree to abide by the policies, rules, and regulations of Birmingham-Southern College.
    I certify that the above information is accurate and complete. If my application is approved, I agree to abide by the policies, rules, and regulations of Birmingham-Southern College.