APPLICATION FOR READMISSION
B. Statistical Info:
Ethnic Status (optional): Are you Hispanic or Latino? Yes No Sex (optional): Male Female
C. Resident/Tuition Status:
Citizenship Status: US Citizen by Birth US Citizen by Naturalization Resident Alien (please attach a copy of both sides of
permanent resident card)
Non-Resident Alien Visa Type ________________________
Country of Citizenship (if not US citizen) ______________________________________________________________________________
University System of Georgia students are responsible for registering under the proper tuition
Domicile
returns following periods of temporary absence. Temporary residence does not constitute the establishment of one’s domicile.
Residency
established domicile in the state.
Are you applying for in-state tuition? Yes No
If you answered “Yes” to the above question, all of the following must be answered.
Yes No If you are under the age of 24, has a parent(s) or US court-appointed legal guardian established and maintained domicile
term in which you plan to enroll?
Yes No Have you ever lived outside the state of Georgia?
If yes, how long have you continuously resided in the state of Georgia? Years______Months______Date:______-______
From To
If you ever lived outside the state of Georgia, what was your primary reason for moving to the state (check all that apply):
Part-time work Full-time work Employment of Spouse Employment of Parent/Guardian Attend School
Family Reasons Return to state following school attendance in another state
_____Yes _____No Have you attended a Georgia high school for at least one year?
_____Yes _____No Have you graduated or will you graduate from a Georgia high school?
_____Yes _____No Do you have a US state/territory-issued driver’s license or ID? If yes, in which state? ________
_____Yes _____No Do you own a motor vehicle? If yes, in which state is it registered? ________
_____Yes _____No Do you have a voter registration? If yes, in which state are you registered? ________
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lished and distributed in whole or in part for education, instructional, or promotional purposes in print or over open broadcast, cable, audiovi-
I understand that any material false statement made knowingly and willingly by me on this application, or any documents attached hereto may,
in accordance with O.C.G.A. 16-10-71, which provides that upon conviction, a person knowingly commits the offense of false swearing shall
Further, I certify that, to the best of my knowledge, the information submitted on this application is true and complete.
Signature _____________________________________________________________ Date ____________________________________________
