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The Commonwealth Commitment Participation Form Commonwealth Commitment Participation Form Commonwealth Commitment Participation Form [Community College Name] Dear Future College Graduate:

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Page 1: The Commonwealth Commitment Participation Form Commonwealth Commitment Participation Form Commonwealth Commitment Participation Form [Community College Name] Dear Future College Graduate:

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

Page 2: The Commonwealth Commitment Participation Form Commonwealth Commitment Participation Form Commonwealth Commitment Participation Form [Community College Name] Dear Future College Graduate:

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