As set forth in full in the Student Handbook/Course Catalog, Southern Crescent Technical College is an Equal Opportunity Institution and does not discriminate on the basis of race, color,
national origin, sex, age or disability.
Revised3‐23‐2020
2020-2021 High School Graduation Self-Certification
Please Type or Print clearly in BLUE or BLACK ink
Student’s Information
______________________________________________________ ____________________________
Last Name First Name M.I. Southern Crescent Student ID #
____________________________________________________________
Street Address (include apt. no.) Date of Birth
____________________________________________________________
City State Zip Code Email Address
____________________________________________________________
Home Phone Number (include area code) Cell Phone Number
What will your high school completion status be when you begin college in the 2020-2021 school year (check box below):
I certify that I have graduated from high school:
High School Name ______________________________________________________________________
High School City _______________________________________
High School State ____________________________________
Date of Graduation ____________________________
I certify that I have successfully complete a General Education Development (GED) program.
I certify that I have successfully completed a homeschool
None of the above
Will you have your first bachelor’s degree before you begin the 2020-2021 school year?
Yes _____________
No _____________
If the student is unable to obtain the documentation listed above, he or she must contact the Office of Financial Aid.
Certification and Signature
__________________________________________________ ___________________________
Student’s SignatureDate
Locations
501VarsityRoad 1533Hwy19South 300LakemontDrive
Griffin,GA30223 Thomaston,GA30286 McDonough,GA30253
P:770‐228‐7368 P:706‐646‐6386 P:770‐467‐6049
F:770‐229‐3029 F:706‐646‐6063 F:770‐914‐4424
Each person signing below certifies that all of the information reported in
this worksheet is complete and correct. The student must sign this
worksheet.
WARNING: If you purposely give false or
misleading information on this worksheet,
you may be fined, be sentenced to jail, or both.
Please submit this worksheet to the Office of Financial Aid
click to sign
signature
click to edit
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