Fillable 05 Re-admit Application Darton College Application for Re-Admission

Fill Online, Printable, Fillable, Blank 05 Re-admit Application Darton College Application for Re-Admission Form

Use Fill to complete blank online DARTON STATE COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

05 Re-admit Application Darton College Application for Re-Admission

On average this form takes 13 minutes to complete

The 05 Re-admit Application Darton College Application for Re-Admission form is 2 pages long and contains:

  • 0 signatures
  • 14 check-boxes
  • 45 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Darton State College

BROWSE DARTON STATE COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
RE-ADMISSION
APPLICATION
INFORMATION
APPLICATION FOR RE-ADMISSION
Early Application Is
Strongly Advised.
An Affirmative Action Equal
Opportunity Educational
Institution
The Application for
Re-Admission:
Information
and Instructions
Please type or print
legibly in ink.
Follow the
instructions given below
carefully in order to expedite
the processing of your
application. If you need help,
contact the Office of
Admissions at (229) 430-
6740 or toll-free at 1-866-
775-1214.
Return the
completed application to:
The Registrar’s Office
Darton College
2400 Gillionville Road
Albany, Georgia 31707
General Deadlines:
Applications and all
required supporting
credentials must be received
by the Registrar’s Office
before an application can be
evaluated.
General
Information
Legal Residency
To qualify as a legal
resident of Georgia, the
applicant, if over 18 years of
age, must have lived in
Georgia for at least one year
prior to the registration date.
If the applicant is
under 18 years of age, his
parents or legal guardian
must have physically resided
in Georgia for
at least one year (12 months)
preceding the registration
date.
Please note that this
brief explanation of the
residency regulations does
not encompass all the rules
on residency. If in doubt
about legal residence status,
consult the Darton College
catalog for the “Legal
Resident” rules and
regulations of the Board of
Regents of the University
System of Georgia, or
contact the Registrar’s
Office.
(over)
1
2
3
1
2
Print
APPLICATION FOR
RE-ADMISSION
A. Re-Admission Information (Please Print or Type Clearly)
This information is required in considering the applicant’s request for admission.
Name
Mr.
Ms.
Miss __________________________________________________________________________________
Last First Middle
Social Security Number _______________________________________ Telephone Number ( _______ ) _______________________________
Mailing Address _________________________________________________________________________________________________________
Street and Number
______________________________________________________________________________________________________________________
City State Zip
Marital Status
Married
Single
Separated
Divorced
Widowed
Term Last Attended __________________________________________ Major at that Time ___________________________________________
Term You Plan to Return ______________________________________ Current Major ______________________________________________
Are any of your records under a different name?
Yes
No If so, what name _____________________________________________
Have you attended any other college since your last enrollment at Darton?
Yes
No
If so, give the names of all colleges attended and the dates of attendance.
______________________________________________________________________________________________________________________
Name of College City/State Dates of Attendance Degree
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
If you have attended another college since your last enrollment, are you applying as a
Transfer
Transient
Auditor
Irregular/Non-Degree
Anticipated enrollment pattern
Day Classes Only
Evening Classes Only
Combination of Day &-Evening Classes
Based on the residency definition in the current catalog, what is your residency classification?
Resident of Georgia. County of Residency _________________________________________
Non-resident of Georgia. State of Residency ___________________________________________
Non-resident of Georgia. Military or military dependent. State of Residency ___________________________________________
I understand that falsification of any statement above constitutes fraudulent enrollment and may result in loss of all credits.
Signature _______________________________________________________________ Date __________________________________________
APPLICATION FOR RE-ADMISSION
FOR OFFICE USE ONLY
Information Received
By Phone
By Letter
In Person
Primary Campus
Main
Cordele
On-Line Only
Thomasville
E-mail Address
Print
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

05 Re-admit Application Darton College Application for Re-Admission

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 15 November 2019

Message

View Audit Log
Print With Audit Log
Duplicate Document