Athens Technical College

Online Application for Admission

Applications must include the following in order to be considered complete. Incomplete applications will NOT be processed.

*Official transcripts, entrance test scores and resident alien cards can be mailed at a different time but must be received by the ATC Admissions office on or before the application deadline for each semester.

Instructions:

1. Fill out
2. Print
3. Sign
4. Submit to one of the following campuses:
Athens Technical College
Admissions Office
 800 U.S. Highway 29 N.
Athens, GA 30601-1500
706-355-5004
Fax 706-369-5756 		Athens Technical College
Elbert County Campus
 1317 Athens Highway
Elberton, GA 30635
706-213-2100
Fax 706-213-2149
Athens Technical College
Greene County Campus
 1051 Athens Tech Drive
Greensboro, GA 30642
706-453-7435
Fax 706-453-2583 		Athens Technical College
Walton County Campus
 212 Bryant Road
Monroe, GA 30655
770-207-3130
Fax 770-207-3129
APPLICATION DEADLINES ARE FALL SEMESTER- JULY 1, SPRING SEMESTER- NOVEMBER 1, SUMMER SEMESTER- May 1.

Applications submitted after the deadline will be subject to a $20 processing fee in addition to the $20 application fee. Students registering during late registration and drop/add will also have to pay the $45 late registration fee

If you have any questions regarding the application, financial aid or admission into ATC, please call (706) 355-5004.

PERSONAL DATA

Please choose the campus you plan to attend :
Social Security Number : (xxx-xx-xxxx)
Name :
Maiden Name : (if applicable)
Address 1 :
Address 2 :
Apt. #/Lot. # :
City :
State
Zip Code :
County of Residence :
Country :
Email Address : (optional)
Day Phone :
Evening Phone :
   
Emergency Contact : (first and last name)
Emergency Contact Phone : (with area code)
   
Have you lived in Georgia at least 12 consecutive months?
Are you a Veteran?

I am UNDER 24 years of age, my parent(s) or legal guardian(s) have claimed me on their most recent federal/state tax return, and they HAVE resided in the state of GEORGIA for the last 12 consecutive months.

I am UNDER 24 years of age, my parent(s) or legal guardian(s) have claimed me on their most recent federal/state tax return, and they HAVE NOT resided in the state of GEORGIA for the last 12 consecutive months.

I am over 24 years of age (or under 24 and neither parent or a legal guardian claimed me on their tax returns) and HAVE lived in Georgia for the last 12 consecutive months.

I am over 24 years of age (or under 24 and neither parent or a legal guardian claimed me on their tax returns) and HAVE NOT lived in Georgia for the last 12 consecutive months.
Gender :
Date of Birth : / / (mm/dd/yyyy)
Are you a U.S. Citizen?
If NOT a U.S. Citizen : Please attach a copy of your Permanent Resident Alien Card. Athens Technical College does not issue I-20 visas.
Resident Alien ID # :
Are you Hispanic/Latino?
Please select one or more races from the following racial groups.





Athens Technical College does not discriminate on the basis of race, color, ethnic or national origin, sex, disability, or age in any educational programs, activities, or employment policies. Inquiries may be addressed to the following personnel at 800 U. S. Hwy 29 N., Athens, GA 30601-1500. Inquiries may also be directed to 1-800-421-3481.
          Title VI and Title VII: VP for Administrative Services, Room J-212, 706.355.5116
          Title IX: Director of Research and Assesment, Room F-208, 706.355.5112
          Section 504 and ADA: Director of Student Support Services and Career Development, Room H-718, 706.355.5016

EDUCATIONAL DATA

Term you plan to enter school :
Year you plan to enter school :
Have you ever been accepted or enrolled at Athens Technical College?
If yes, what term and year?
Applying to Athens Tech as a :

**Note: In order to receive financial aid, a program of study MUST be selected.

PROGRAM OF STUDY :

Choose one of the above programs of study offered at ATC. The category you choose will affect financial aid, so please refer to the catalog or ask questions before making your selection.

Please note: The programs of study that are listed in ALL CAPS are Health programs. Health programs are competitive. Applicants cannot be admitted directly to these programs. Please consult the catalog for additional admissions requirement for each Health program. All additional materials must be on file by the deadline specified in the catalog.

* A student who is a candidate for the Associate of Applied Science - Business Studies, Health, Personal/Public Services, or Technical Studies must have graduated from or be eligible to graduate from a diploma program in a field appropriate to the degree area. Programs in agricultural and computer information systems areas shall be considered to fall in the Technical studies area. You must complete a readmission form in order to make the change official.

** Special Admit is NOT eligible for Financial Aid

Please review our catalog or web site for additional information on your program. If you have questions regarding your program that cannot be answered by reviewing our catalog or web site, prior to submitting your application, please contact our Admissions Office at (706) 355-5004.

EDUCATIONAL AND TEST DATA

Please indicate any of the following tests that you have taken within the last 5 years :


HIGH SCHOOL

High School attended :
City :
State :


GRADUATION INFORMATION

Please fill in the following. Note: High school special education diplomas and certificates of attendance are not accepted. All required exit exams must be passed.

You must submit an official copy of your high school transcripts or your GED test scores to the Admissions Office if you have earned fewer than 45 quarter hours or 30 semester hours in college.

High school graduation date: (mm-dd-yyyy)
Anticipated high school graduation date: (mm-dd-yyyy)
GED Certificate date: (mm-dd-yyyy)
Not applicable: Highest grade level completed
Highest grade level completed beyond high school:


COLLEGE

Please list ALL postsecondary institutions (including Athens Tech) you have attended. Any student who does not list each previous institution attended may be subject to dismissal without refund. (List last institution first). You must request official transcripts from ALL institutions attended and they must be mailed by the releasing institution or hand delivered in an unopened envelope (sealed by the releasing institution) to the Admissions Office at Athens Tech.

Name of Institution :
City :    State :
Dates Attended :   -  
Type of Degree Received :


Name of Institution :
City :    State :
Dates Attended :   -  
Type of Degree Received :


Name of Institution :
City :    State :
Dates Attended :   -  
Type of Degree Received :


Name of Institution :
City :    State :
Dates Attended :   -  
Type of Degree Received :


Name of Institution :
City :    State :
Dates Attended :   -  
Type of Degree Received :


Name of Institution :
City :    State :
Dates Attended :   -  
Type of Degree Received :



Online Application for Admission - Signature Page

I certify that the foregoing information contained in this application is true and correct. I understand that misrepresentation or omission of information will be sufficient cause for rejection or dismissal.

 

Print Name : _________________________________________________
                      (Last Name, First Name M.I.)

 

Signature : __________________________________________________

 

Date : ________________________