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Application fee may be paid by credit card or Paypal® by clicking the 'Pay Now' button after submitting the application OR payment by check or money order can be mailed to: Albany Technical College, Attn: Business Office, 1704 S. Slappey Blvd., Albany, Ga., 31701.


APPLICATION FOR ADMISSION
($15 Application Fee Required)
-- * Items are required --
Online Admissions Application Deadline Dates:

Summer 2010 (July8th 2010-Sept. 16th 2010) – applications due June 5th
Summer B-Term – applications due July 23rd
Fall 2010 (Sept. 27th 2010-Dec.10th 2010) – applications due September 7th
Fall 2010 B-Term – applications due October 13th 2010
Winter 2010 (Sept. 27th 2010-Dec.10th 2010) – applications due September 7th
Winter 2010 B-Term – applications due January 20th 2011
Spring 2010 (Jan. 4th 2011-Mar. 15th 2011) – applications due December 16th 2010
Spring 2010 B-Term – applications due April 13th 2011

     

* First Name:

Middle Name/Initial:

* Last Name:

* Social Security Number:

* Email Address:

* Address:

* City:

* State:

* Zip Code:

* Primary Phone:

Secondary Phone (cell/business):

* County:

Person to contact in case of emergency:

* First Name:

* Last Name:

* Address:

* City:

* State:

* Zip Code:

* Primary Phone:

Secondary Phone (cell/business):

The information in the following section is optional and is not used in determining eligibility for admission (except minimum age). This data is used only in the preparation of statistical reports.

Date of Birth:

Sex:

Race:

Citizenship Status:

Are you a US Citizen?
Yes   No

Alien, Non-Resident?
Yes   No

Alien, Resident?
Yes   No

Are you a Georgia Resident?
Yes   No

Are you a Veteran?
Yes   No

Education Information

Did you graduate from high school?

Yes
No

Year Graduated:
Year Widthdrew:

 

Have you received your GED?

Yes
No

Year Received:

 

Highest Grade Completed:

College Years Completed:

Degree:

Have you taken any of the following tests?
SAT    CPE    ASSET    ACT    COMPASS

Do you wish to enroll in a high school program?
Tech Prep    Accel    Dual Enrollment    Joint Enrollment

Schools Attended

High School (#1)

Name:

Address:

City/State/Zip:

Attended From (date):

To (date):

 

Courses taken:

Diploma/Degree:

High School (#2)

Name:

Address:

City/State/Zip:

Attended From (date):

To (date):

 

Courses taken:

Diploma/Degree:


Technical Colleges or Schools (#1)

Name:

Address:

City/State/Zip:

Attended From (date):

To (date):

 

Courses taken:

Diploma/Degree:

Technical Colleges or Schools (#2)

Name:

Address:

City/State/Zip:

Attended From (date):

To (date):

 

Courses taken:

Diploma/Degree:


College/University (#1)

Name:

Address:

City/State/Zip:

Attended From (date):

To (date):

 

Courses taken:

Diploma/Degree:

College/University (#2)

Name:

Address:

City/State/Zip:

Attended From (date):

To (date):

 

Courses taken:

Diploma/Degree:


Other (#1)

Name:

Address:

City/State/Zip:

Attended From (date):

To (date):

 

Courses taken:

Diploma/Degree:

Other (#2)

Name:

Address:

City/State/Zip:

Attended From (date):

To (date):

 

Courses taken:

Diploma/Degree:


Enrollment Information

Online Admissions Application Deadline Dates:
Summer 2010 (July8th 2010-Sept. 16th 2010) – applications due June 5th
Summer B-Term – applications due July 23rd
Fall 2010 (Sept. 27th 2010-Dec.10th 2010) – applications due September 7th
Fall 2010 B-Term – applications due October 13th 2010
Winter 2010 (Sept. 27th 2010-Dec.10th 2010) – applications due September 7th
Winter 2010 B-Term – applications due January 20th 2011
Spring 2010 (Jan. 4th 2011-Mar. 15th 2011) – applications due December 16th 2010
Spring 2010 B-Term – applications due April 13th 2011

Quarter you wish to enter:

Year:

Classes you plan to attend:

Do you plan to pursue:

Student Type:

Program of Study:
Choice 1:
Choice 2:


1704 S. Slappey Blvd. Albany, Ga. 31701 / 229-430-3500 phone / 229-430-6180 fax / 877-261-3113 toll free number    |    site by skywater