Undergraduate Admission Application

South Dakota School of Mines and Technology

Office of Admissions • 501 East Saint Joseph Street • Rapid City, SD 57701 • USA
1-877-877-6044 • (605) 394-2414 • Fax (605) 394-1979

Application Instructions


Instructions: There is a $20 application fee that can be paid online by credit card or you can send a check by mail. Complete the application by filling in the fields and clicking "Next". Once the application is complete you will be given the choice to print the application and mail it or submit it online.


Biographical Data

Legal Name     Social Security Number* --
  Last First Middle     Why do you need my SSN?
Former Name(s) Preferred First Name
Birth Date (MM/DD/YYYY) //

Permanent Mailing Address Current Mailing Address (if different)
Street Street
City City
State Zip Code State Zip Code
Country Country
Telephone Telephone
 
Other number Cell Phone  Work Phone  Fax
E-mail Address
Person to Contact in Case of Emergency
Name Relationship to you
Street Telephone
City State Zip Code
Country


CITIZENSHIP: USA  Resident Alien  Other

    If you checked Resident Alien or Other, please specify Citizenship , and
    Country of Birth , City of Birth
    Status Please specify if other
RESIDENCY: Have you lived in South Dakota for the past 12 months? Yes No
  In what state are you a resident?
  South Dakota residents should also list the County in which you reside
  If you are a South Dakota resident, but you have not lived in South Dakota for the past 12 months, please explain:
If you are not currently a resident of South Dakota, please answer the following questions.
Yes  No Were you a South Dakota resident at the time of high school graduation and lived with a parent or legal guardian who was also a South Dakota resident?
Yes  No Will you begin to attend classes no later than the fall semester of the seventh year after the date of high school graduation?
Yes  No Has your parent or legal guardian resided continuously in South Dakota since your high school graduation through the time you will first attend classes?
CHILD OF ALUMNI: Parent Name(s)
  Attended BHSU  DSU  NSU  SDSM&T  SDSU  USD 

Semester and year you wish to enroll: Fall Spring Summer, then Fall Summer Only, Year

Prior Application: Have you previously applied to BHSU, DSU, NSU, SDSM&T, SDSU, or USD? No  Yes
  If yes, list the school(s) to which you applied Year Semester
    Year Semester
Educational Goal: Check the option below that best describes your educational goal.
  Option A: I plan to pursue a degree and have decided on a major.
  Check one: Bachelor’s Degree (4 year degree) OR Associate’s Degree (2 year degree)
  Option B: I plan to pursue a degree, but have not decided on a specific major.
  Check one: Bachelor’s Degree (4 year degree) OR Associate’s Degree (2 year degree)
  Option C: I do not plan to pursue a degree and will be taking courses as a non degree seeking student.
  I understand that this educational goal does not qualify me to receive federal financial aid.

Have you previously attended SDSM&T? Yes  No