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: Winter 2010 (Jan. 6-Mar. 18) – applications due Dec. 18th Winter 2010 B-Term (Feb. 10-Mar. 18) – applications due Jan. 20th Spring 2010 (Mar. 29-Jun. 9) – applications due March 8th Spring 2010 B-Term (May 4-Jun. 9) – applications due Apr. 13th
* First Name:
Middle Name/Initial:
* Last Name:
Social Security Number:
* Email Address:
* Address:
* City:
* State: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
* Zip Code:
* Primary Phone:
Secondary Phone (cell/business):
County:
Date of Birth:
Sex: - Male Female
Race: - American Indian Asian/Pacific Islander Black/African American Hispanic White, Non-Hispanic Other
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
Did you graduate from high school?
Yes No
Year Graduated: Year Widthdrew:
Have you received your GED?
Year Received:
Highest Grade Completed: - 12 11 10 9 8 7 6 5 4 3 2 1 0
College Years Completed: - 4 3 2 1 0
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
High School (#1)
Name:
Address:
City/State/Zip:
Attended From (date):
To (date):
Courses taken:
Diploma/Degree:
High School (#2)
Technical Colleges or Schools (#1)
Technical Colleges or Schools (#2)
College/University (#1)
College/University (#2)
Other (#1)
Other (#2)
Quarter you wish to enter: - Winter Spring Summer Fall
Year:
Classes you plan to attend: - Day - Part Time Day - Full Time Evening - Part Time Evening - Full Time
Do you plan to pursue: - Associate Diploma Certificate
Student Type: - Undeclared Transient Apprenticeship Beginning Post Secondary Option Joint Enrollment Returning Transfer Tech Prep Audit Senior Citizen
Program of Study: Choice 1: Choice 2: