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TheCommonwealthCommitmentParticipation Form
CommonwealthCommitmentParticipationForm[CommunityCollegeName]
DearFutureCollegeGraduate:
WearethrilledthatyouwanttoparticipateinMassachusetts’newMassTransferCommonwealthCommitment!TheCommonwealthCommitmentseekstohelpyouachievecollegesavingswhileyouearnyourdegree.
ByparticipatinginaMassTransferA2BMappedPathway,youmaybeeligible1toreceivethefollowingCommonwealthCommitmentbenefits: AfreezeontuitionandmandatoryfeeratesataMassachusettspubliccommunitycollegefromthemomentyouentertheCommonwealthCommitmentandatenpercent(10%)rebateofffrozencommunitycollegetuitionandmandatoryfeesattheendofeverysuccessfullycompletedsemester.
Upontransfertoabaccalaureateinstitution,aMassTransfertuitioncredit,andafreezeonmandatoryfeeratesfromthestateuniversityorUniversityofMassachusetts(UMass)campustowhichyoutransfer2andatenpercent(10%)rebateofffrozenmandatoryfeesattheendofeverysuccessfullycompletedsemester.
Carefullyreviewtheprogramdetailslistedonthebackofthispage.YouracademicadvisorwillhelpyoudetermineiftheCommonwealthCommitmentisagoodfitforyou.Moreinformation,includingaFactSheetandFrequentlyAskedQuestions,isavailableatwww.mass.edu/macomcom.
AvailableMassTransferA2BMappedPathwaysattheCommunityCollegesforTransferto(SpacePermitting):
StateUniversities&UMass AvailablebeginningFall2016
Biology Chemistry Economics History PoliticalScience Psychology
AvailablebeginningFall2017 Business Communications&MediaStudies ComputerScience CriminalJustice EarlyChildhoodEducation English LiberalArts Mathematics Sociology STEMPhysicalorNaturalSciences
MassachusettsMaritimeAcademy
AvailablebeginningFall2017 EmergencyManagement MarineSafety&EnvironmentalProtection EnergySystemsEngineering FacilitiesEngineering InternationalMaritimeBusiness
MassachusettsCollegeofArt&Design AvailablebeginningFall2017
Painting Printmaking Sculpture Animation ArchitecturalDesign ArtEducation–ArtTeacher ArtEducation–CommunityEducation ArtEducation–StudioArt FashionDesign Film/Video 3DMinor Ceramics Fibers Glass Jewelry/Metalsmithing GraphicDesign Illustration IndustrialDesign Photography Studio&InterrelatedMedia
1Studentsmustmeetalleligibilitycriteriatoreceivebenefits.2Freezereflectsthetuitionandmandatoryfeesratesineffecttheyearthestudententerstheprogram.Forexample:IfastudententerstheCommonwealthCommitmentatBunkerHillCommunityCollegeinFall2016,thatstudentwillbechargedthesamerateswhileatBHCC.IfthestudenttransferstoUMassBostoninFall2018,thestudentwillpaythemandatoryfeesratesatUMassBostonattheirFall2016ratesforthenexttwoyearsandgettheMassTransfertuitioncredit.Thisfreezedoesnotincludediscretionaryfeesandnon‐mandatoryfees. 08.04.2017
TheCommonwealthCommitmentParticipation Form
PLEASETYPEORPRINTLEGIBLY
STUDENTINFORMATION
LastName/Family FirstName MiddleNameOtherNamethatmayappearon
officialrecordsDateFormCompleted
CommunityCollegeStudentID#(if
known)DateofBirth PhoneNumbers EmailAddress
ParticipationFormStartTerm
MustcompleteAssociateDegreebytheendof
()‐ Fall2016
Spring2017Fall2017
‐‐Fall2018‐‐Spring2019‐‐Fall2019()‐
COMMUNITYCOLLEGEINFORMATION
CommunityCollege MassTransferA2BMappedPathway
STATEUNIVERSITYORUMASSINFORMATION
IntendedMassTransferInstitution
IntendedMassTransferMajor
AlternateChoiceMassTransferInstitution
IntendedMassTransferMajor
ParticipantChecklist Massachusettsresidenteligibleforin‐statetuitionunderthetermsoftheBoardofHigherEducation’sresidencypolicy. Studentwhohasahighschooldiplomaoritsequivalent. Studentwhohasearnednomorethan15collegecredits(includingdevelopmentalcoursework).Thisrequirementdoesnotpertaintoanydual
enrollmentcourseworktakenwhileenrolledinhighschool.
EligibilityRequirements
1. Atthecommunitycollege:a. Enrollinatleast12college‐levelcreditspersemesteratthesamecommunitycollege.b. MaintainacumulativeGPAof3.00orabove(notincludingdevelopmentalcoursework).c. Enrollasadegree‐seekingstudentinanapprovedMassTransferA2BMappedPathway(continuousFall/Springsemesters).d. CompleteaMassTransferA2BMappedassociatedegreewithintwoandahalfyearsofsubmittingtheParticipationForm3.
2. Whentransferringtoabaccalaureateinstitution:a. Enrollinatleast14college‐levelcreditspersemesteratthesameinstitution(additionalformsmayberequiredforadmissionandstudentsshouldreadallinstitutionalcorrespondence).
b. MaintainacumulativeGPAof3.00orabove(notincludingdevelopmentalcoursework).
MassachusettsStateUniversityorUMassCampus:
MassachusettsMaritimeAcademy:(Mayrequiremorethan120totalcreditsto
graduate)3
MassachusettsCollegeofArt/Design:(Mayrequiremorethan120totalcreditsto
graduate)3c. ImmediatelyfollowingcompletionofaMassTransferA2BMappedassociatedegree,enrollasadegree‐seekingstudentinaMassTransferA2BMappedmajor(continuousFall/Springsemesters). Additionalformsmayberequiredfor
admission;studentsshouldreadcorrespondencesentfromtheinstitution.
d. Completeabachelor’sdegreewithintwoyearsoftransferring(exceptforEducationprograms).
c. 1.5years(45credits)aftersubmittingtheParticipationFormatthecommunitycollege,enrollasadegree‐seekingstudentinaMassTransferA2BMappedmajor(continuousFall/Springsemesters)3.
d. Completeabachelor’sdegreewithinthreeyearsoftransferring.
c. 1year(30credits)aftersubmittingtheParticipationFormatthecommunitycollege,enrollasadegree‐seekingstudentinaMassTransferA2BMappedmajor(continuousFall/Springsemesters)3. Studentsmustsubmitaportfolioaspartof
theacceptancecriteria.d. Completeabachelor’sdegreewithinthreeandahalfyearsoftransferring.
e. StudentsmustenrollduringtheFallsemester.
3IfintendingtotransfertoMassachusettsCollegeofArtandDesignorMassachusettsMaritimeAcademy,studentsmusttransferpriortoearninganassociatedegreeatthecommunitycollegeandreversetransfercreditsbacktothecommunitycollegetocompleteanassociatedegree.PleaseNOTE:Studentsmustmaintainalleligibilityrequirementstoremaineligiblefortheprogram.
Iunderstandthat,bysigningbelow,Iconsenttothereleaseofmycontactinformation,includingmycampusemailaddressandacademicinformation,totheinstitution(s)towhichIintendtotransfer.
Signature Date
FOROFFICEUSEONLY–DONOTWRITEBELOWTHISLINE
ParticipationFormReviewedby Date
ParticipationFormEnteredintoStudentRecordby Date