Fillable 4-page Application 4 28 20 Fillable Final (Denmark Technical College)

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4-page Application 4 28 20 Fillable Final (Denmark Technical College)

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P.O. Box 327
•
1126 Solomon Blatt Boulevard
•
Denmark, SC 29042-0327
Telephone 803.793.5172 • Fax 803.793.5290
Visit us @ www.denmarktech.edu
New Students
1. Complete the application and attach a non-refundable
application fee of $10.00 (cashier’s check or money
order). Mail your application form and fee to the
Admissions office at Denmark Technical College, 1126
Solomon Blatt Blvd., P.O. Box 327, Denmark, SC 29042-
0327.
2. To be accepted to the College, you must meet minimum
required scores on either of the following tests:
COMPASS, Accuplacer NextGen, SAT or ACT. If you
already have taken either of these tests and wish to have
the scores considered, you must have your scores sent by
the Testing Center where you took your test. The official
scores (certified by the Testing Center) should be sent to
the Admissions Office. Please be advised that scores more
than three years old will not be accepted.
3. Please arrange for an official copy of your high school
transcript (showing graduation date along with HSAP
scores) or high school equivalency certificate (GED) to be
sent to the Admissions office.
Transfer Students
1. Arrange for each college attended to send an official copy
of your transcript to DTC.
2. Transfer students who have earned 15 or more credit
hours with a grade “C” or better with acceptable English
and Math courses from a regionally accredited college or
university may be exempt from taking the college
placement (COMPASS/Accuplacer NextGen) test.
Readmit Students
If you are a returning student who has not attended Denmark
Technical College during the previous semester (excluding
summer), you must complete a new application.
Transient Students
Students matriculating at other colleges who wish to enroll in
courses at Denmark Technical College must submit an
application and meet all prerequisites for the course(s).
Financial Aid
You may apply for financial aid in the Financial Aid Office or
online at www.fafsa.ed.gov school code: 005363. For detailed
information on eligibility for Federal Pell grants, loans,
student employment, and veteran’s assistance at Denmark
Technical College visit the Financial Aid Office or call (803)
793-5161.
Residency Policy
Tuition at Denmark Technical College is assessed based on a
student’s legal permanent residency as reported on the
residency form (enclosed in your application packet). Students
who falsify information regarding their state of residence will
be reassessed and charged the appropriate tuition.
Physical Examination
All residential Life students and those students in the following
majors (Nursing, Early Childhood Development/Education,
Barbering and Cosmetology) are required to have a physical
examination before enrolling at DTC. A physical form can be
obtained in the Student Services Office and must be submitted to
the Health Services Office.
Services for Students with Disabilities and Special
Needs
Students with special needs must notify the Counseling office of
any accommodations needed. Please call to schedule an
appointment with the Title IX Student Coordinator at (803) 793-
5274.
Residential Life
All students requesting on-campus housing must complete a
housing application and submit a non-refundable room deposit
of $75.00. Space is reserved on a first paid, first placed basis.
For more information, call the office of Residential Life at (803)
793-5282.
Accreditation
Denmark Technical College is accredited by the Southern
Association of Colleges and Schools Commission on Colleges to
award Certificates, Diplomas, and Associate Degrees. Contact
information: 1866 Southern Lane, Decatur, Georgia 30033-4097
Telephone# (404) 679-4501.
Contact Information
Enrollment Services (803) 793-5175/
(803) 793-5103
Business Office (803) 793-5264
Counseling (803) 793-5298
Residential Life (803) 793-5242
Health Services (803) 793-5224
Financial Aid (803) 793-5161
****************************************************
Nondiscrimination Policy:
Denmark Technical College is committed to a policy of
nondiscrimination in the provision of equal access in student
services, programs and student employment, and in faculty and
staff employment, and advancement without regard to race,
color, religion, sex, age, ethnic origin, national origin or
political affiliation, disability, veteran status or marital status.
Service Area Proviso: Denmark Technical College was
established in 1947 and has “a legislated mandate to serve
students throughout the state.”
APPLICATION INSTRUCTIONS & GENERAL INFORMATION
DENMARK TECHNICAL COLLEGE
ADMISSION APPLICATION
Student Enrollment Status
□ New: First-Time Freshman
□ Readmit: Did not attend DTC in previous semester
□ Transfer: Coming to DTC from another college or university
□ Transient: Attending another college, enrolling at DTC for a c ourse
□ Dual Enrollment: High school student taking college courses
Semester to enter DTC
□ Fall (August – December)
□ Spring (January – May)
□ Summer (May – July)
Year:
______
PLEASE PRINT CLEARLY (USE BLUE OR BLACK INK)
Social Security #: ________/_________/__________
Full Name (Last, First, Middle):
Mailing Address:
City: ________________________________________ County: _______________________________
State: ___________ Zip: _____________
Home Telephone: (
) _________________________________________
Cell Phone: ( ) __________________________________
Email Address:
Date of Birth: _______/________/__________
S
ex: □ Male □ Female
Do you require on-campus housing? □ Yes □ No
Do you require Financial Aid? □ Yes □ No
Are you a Veteran? □ Yes □ No
Have you ever been convicted of a felony? □ Yes □ No (If yes, please attach explanation)
*Ethnicity: □ Hispanic or Latino □ Not Hispanic or Latino
Non-Hispanics Only
□ American Indian or Alaska Native
□ Asian
□ Black or African American
□ Natve Hawaiian or other Pacific Islander
□ White
*This information is voluntary and will not be used in the admissions process in a discriminatory manner.
Name of High School Last Attended:
______________________________________
Location (City/State):_________________________
Are you a High School Graduate? □ Yes □ No If yes, graduation date (Month/Year): ______/_______
Did/will you earn a: □ High School Diploma □ High School Certificate □ GED
State where GED was taken: _________________________
Month/Year GED received: _______/________
Have you taken the ACCUPLACER Placement Test? □ Yes □ No (If yes, please have scores sent to the Admissions Office.
)
PERSONAL INFORMATION
EDUCATIONAL EXPERIENCE
Previous College or University
City/State
Dates Attended
Grad
Grad Date
□
□
□
Residency Status Information
Are you a nonresident □ Yes □ No
alien?
Are you a U.S. Citizen? □ Yes □ No
Are you a legal resident □ Yes □ No
of South Carolina?
___________________________
SC County of Residence
COLLEGE USE ONLY
Student ID#: ______________________
Keyed by: ________________________
DEGREE, DIPLOMA, & CERTIFICATE PROGRAMS OF STUDY
Please check the program you wish to enter
COLLEGE TRANSFER
PROGRAMS, DIVISION
OF ARTS & SCIENCES
DIVISION OF BUSINESS,
COMPUTER & RELATED
TECHNOLOGIES
DIVISION OF PUBLIC
SERVICE
DIVISION OF INDUSTRIAL &
RELATED TECHNOLOGIES
ASSOCIATE DEGREES
ASSOCIATE IN APPLIED
SCIENCE, major in:
□ Administrative Office
Technology
□ Business Administration
□ Computer Technology
CERTIFICATE IN APPLIED
SCIENCE, major in:
□ Accounting
□
Cybersecurity
□
Entrepreneurship/Small
Business
□
Multimedia-Web/Graphics
Design
□ Word Processing
DIPLOMA IN APPLIED SCIENCE,
major in:
□ Administrative Support
□ Barbering
□ Cosmetology
ASSOCIATE IN APPLIED
ASSOCIATE IN APPLIED
□ Associate in Arts
□ Associate in Science
□ Associate in Applied
Science, major in
General Technology
SCIENCE, major in:
□ Criminal Justice
□ Early Care & Education
□ Human Services
CERTIFICATE IN
SCIENCE, major in:
□ Electromechanical Engineering
Technology
CERTIFICATES
□ General Studies
□ Pre-Medical
APPLIED SCIENCE, major in:
□ Criminal Justice
□ Culinary Arts
□ Early Childhood Development
□ Gerontology
CERTIFICATE IN APPLIED SCIENCE,
major in:
□
Building Construction
Fundamentals
□ Computer Servicing & Repair
□ Plumbing
□ Welding
DIVISION OF NURSING
DIPLOMA IN APPLIED
SCIENCE, major in:
□ Practical Nurse
CERTIFICATE IN APPLIED
SCIENCE, major in:
□ Nurse Aide Assistant
*Subject to Change
EMERGENCY CONTACT INFORMATION (provide at least 1)
Full Name:
_____________________________________________
Full Name:
_____________________________________________
Relationship to you: □ Parent □ Spouse □ Guardian Relationship to you: □ Parent □ Spouse □ Guardian
□ Other ____________________ □ Other ____________________
Telephone: Home (
) __________________________________
Telephone: Home (
) _______________________________
Cell (
) ____________________________________
Cell (
) __________________________________
SIGNATURE
I certify that all information provided is accurate and complete to the best of my knowledge. I realize that any falsification of information or
willful omission of requested information may be sufficient cause for the college to cancel my enrollment.
Applicant’s Signature Date
__
How did you hear about Denmark Technical College? (Check all that apply)
□ Alumni □ College Recruiter □ Current Student □ Internet □ Newspaper □ Radio □ Television □ Other _____________________
There shall be no discrimination, in any respect, by Denmark Technical College against a student, or applicant for admission as a student,
based on race, color, age, religion, national origin, sex or disability. For inquiries on nondiscrimination policies, call (803) 793.5109.
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4-page Application 4 28 20 Fillable Final (Denmark Technical College)

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Completed 26 July 2020

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