Fill - Free fillable APPLICATION FOR ADMISSION (Galveston College) PDF form

APPLICATION FOR ADMISSION

ADMISSIONS REQUIREMENTS AND INFORMATION FOR GALVESTON COLLEGE

Admission Policies

Galveston College (GC) is a comprehensive community college committed to

teaching and learning, that creates accessible learning opportunities to fulfill

indi-vidual and community needs by providing high-quality education programs

and services. Galveston College maintains an open admission policy and

constantly works to provide programs beneficial to all students. Admission to

the college does not guarantee admission to selective programs.

Bacterial Meningitis Vaccination

All students less than 22 years of age are required to submit proof of the

Bacterial Meningitis vaccination to the Office of Admissions. Evidence of the

vaccination (signed by a physician or state or local health agency) must not be

more than five years old as of the beginning of the first term of enrollment.

Students with a conscientious objection may visit the Office of Admissions to

submit a notarized affidavit. For more information regarding vaccination

requirements, visit www.collegevaccinerequirements.com.

General Admissions Procedures

1. Complete the Application for Admission and Residency Questionnaire.

2. Submit evidence of the Bacterial Meningitis vaccination (unless exempt).

3. Submit official high school and/or college transcripts to Admissions.

4. Complete placement testing, if needed. (Students may be eligible for an

exemption from the placement exam). Please see the College Catalog for more

details.

5. Meet with Galveston College Counselor/Faculty Advisor to discuss placement

test results, degree plan, and course selection prior to registration.

Admission Categories

A completed Application for Admission and Residency Questionnaire is

required by all first time college students. Test scores or exemption

documentation are also required to assess course placement. Additional

documentation may be required.

High/Home School Graduate:

A final official high school transcript showing graduation date and GPA.

GED/High School Equivalency Certificate:

An official GED/High School Equivalency Certificate with completion date

High School Dual Credit or Early Admissions:

- A completed and signed Application for Dual Credit/Early Admit form.

- An official in-progress high school transcript with test scores.

Students who are not eligible for an exemption or waiver will be required to

take all parts of the TSI Assessment

Non Accredited High School Graduate

A fin

al official high school transcript showing graduation date and GPA.

Students

who graduated from a non accredited high school may not be eligible for federal

financial aid.

No High School Diploma or No GED/High School Equivalency: Requires

individual approval from the Director of Admissions/Registrar.

Returning Students

Students who have previously attended Galveston College but have not

attended for one or more semesters must complete the Readmission

Application. Returning students must send official transcripts from all schools

attended since their last enrollment to the Office of Admissions.

Academic Fresh Start

Academic Fresh Start entitles residents of Texas to seek admission without

consideration of courses undertaken ten (10) or more years prior to

enrollment. An applicant who is a Texas resident may enter Galveston College

under academic fresh start status (Texas Education Code, §51.931).

a) Fresh Start must be declared upon entrance to the College. Students who do

not declare upon entrance will not be considered after enrolled.

b) An applicant who elects to apply under this statute may not receive any

course credits or grades earned for courses taken 10 or more years prior to

enrollment.

Note: Academic Fresh Start does not apply to Financial Aid or VA

benefits, guidelines, and/or regulations.

Transfer Students

A completed Application for Admission and Residency Questionnaire and

official test scores or official exemption documentation is required. Additional

documents required for admissions varies based on hours completed:

Students transferring with less than 15 hours:

- Official high school transcript or GED certificate

- Official transcript from all colleges attended

Students transferring with more than 15 hours:

- Official transcript from all colleges attended

International Students

Application Deadlines:

Fall – July 14 Spring - October 30

To be considered for admission, international students must submit:

- A non-refundable application fee of $200 payable by US money order.

- Complete Application for Admission and Residency Questionnaire

- Student Information Sheet

- All official high school and college transcripts. All transcripts must be officially

translated and evaluated by an approved agency.

- Statement of Financial Support that must be signed by a parent, or

sponsor dated within one year from the first day of classes.

- Supporting evidence of income and resources as appropriate.

- Test of English as a Foreign Language (TOEFL) scores.

A minimum score of 500 is required on the paper based exam and 173 for the

computerized exam. The school code for Galveston College is 6255.

Evidence of U.S. medical insurance coverage at the time of enrollment.

Additional documents required for international students transferring

from a U.S. college or university:

- Official transcript from each college or university

attended

- Foreign Student Advisor’s report

- Copy of I-20, passport and I-94 card

Residency Reclassification

Residency is determined at the time the Application for Admissions is processed.

All changes to residency requests must be filed by the census date for the term

in which the reclassification is required. Residency changes are not made

retroactively.

Counseling

Counselors are available to assist students with general academic and career

counseling, job placement, testing, personal counseling and registration in the

Counseling Center (M-150).

Special Services for Students with Disabilities

Contact the Special Services Counselor/Advisor in the Counseling Center for

more information regarding special services for students with disabilities.

(409) 944-1223; M-154

Orientation

All first time, full time students will be required to attend an Orientation session

prior to registration. For more information contact the Counseling Center at

(409) 944-1220.

Testing and Assessment

The Texas Success Initiative (TSI) was passed by the Texas State Legislature in

2003 to improve the success of students attending public colleges and

universities in Texas. The TSI requires the assessment of academic skills of each

entering student to determine the student’s readiness to enroll in college-level

academic coursework. For more information visit www.thecb.state.tx.edu.

Financial Aid and Scholarships

For financial assistance with college expenses, complete the application for

federal financial aid at www.fafsa.ed.gov. Information on financial aid can be

obtained from the Financial Aid Office (M-160). You may also visit www.gc.edu

or call (409) 944-1235 for more information.

Galveston College Office of Admissions

4015 Avenue Q, Galveston, TX 77550

Phone: (409) 944-1230 / Fax: (409) 944-1501 / Email: adm@gc.edu

Student ID: ________________________________

Application for Admission

Instructions: Complete all items on the Application for Admission and Residency Questionnaire. Omitted data may result in processing delays.

Social Security Number

Not furnishing your Social Security Number may result in IRS fines of up to $50.

Furthermore, the IRS will not be able to use Form 1098-T to confirm eligibility for

certain education tax benefits.

y providing the number above, you certify this as your true and accurate Social Security Number

Gender

Female

Male

Date of Birth (MM/DD/YYYY)

Name (Legal name as it appears on your Social Security card)

Last First

Middle

Suffix

Other Names Used

Permanent Mailing Address City

State Zip

Current Residential Address

City State Zip

County

Time at Address

Less than 1 Year

1 year or more

If you have lived at your current address less than 12 months, please provide previous addresses below

Previous Residential Address

City State Zip

Dates at Address

Previous Residential Address City State

Zip

Dates at Address

Email Address

Home Phone Number Cell Phone Number Work Phone Number

Emergency Contact Name Emergency Contact Number

Place of Birth

Are you a U.S. Citizen?

Yes No

Country of Citizenship (if not a U.S. Citizen)

If not a U.S. Citizen, do you hold valid Permanent

Resident status for the U.S.?

Yes No

Permanent Resident Card Issue Date Alien Number

Current Visa Type Visa Issue Date Visa Expiration Date

These questions will be used for federal and/or state reporting purposes only

Marital Status

Single Married Separated

Domestic Partnership Divorced

Widowed

Ethnic Origin

Hispanic/Latino

Non-Hispanic/Latino

Race (Select all that apply)

White

Black/African American

Asian

Hawaiian/Pacific Islander

American Indian/Alaska Native

Parent/Guardian 1 Education

No High School

HS Diploma/Equivalency/GED

Some College

Graduate/Professional Degree

Some High School

Associate Degree

Bachelor Degree

Parent/Guardian 2 Education

Some High School

No High School

HS Diploma/Equivalency/GED

Associate Degree

Some College

Bachelor Degree

Graduate/Professional Degree

It is the policy of Galveston College to provide equal opportunities without regard to age, race, color, religion, national origin, gender, disability, genetic information, or veteran status.

_____ID _____OD _____OS _____FN

Reset Application

Program of Choice (see program sheet)

Anticipated Start Date at Galveston College

Fall Spring Summer I Summer II

Year:

Basis for Admission

High School Graduate

High School Equivalency/GED

College Transfer, Degree Seeking

Non-Degree Seeking

Readmission from Prior Semester

Home School Graduate

Dual Credit/Early Admission

College Transfer, Non Degree Seeking

Transient, Seeking Degree Elsewhere

Individual Approval (No HS diplo

ma/GED)

Educational Intent

Earn a Degree (2 year)

Earn a Certificate (<2 years)

Earn Credits for Transfer

Improve Job Skills

Personal Enrichment

High School Attended City/State of High School Graduation Date (Month/Year)

Currently in high/home school?

No Yes - Name of School:

Anticipated Graduation Date:

Did you graduate from high/home school?

No Yes - Name of School:

Graduation Date:

Did you receive a certificate of high school equivalency/GED?

No Yes - Name of School:

Graduation Date:

List all colleges attended. Omission of information may lead to withdrawal. All transcripts should be on file before enrollment; however, records must be received

before the next registration period or a hold will be placed on the student’s record. Transcripts must be in an unopened sealed envelope to be considered official.

Name of College

Location

Dates Attended Hours/Degree Earned

Certification

Information collected on this application is protected in accordance to the Family Educational Rights and Privacy Act of 1974, as amended (FERPA). Information

regarding student rights under FERPA may be found in the college catalog. Questions regarding FERPA may be directed to the Director of Admissions/Registrar.

Students under the age of 22 are required to show proof of vaccination against Bacterial Meningitis, unless exempt. Detailed information about the requirements

and symptoms and treatment of Bacterial Meningitis is available on the Galveston College website (www.gc.edu), as required by Texas Education Code, Chapter

51, Section 51.9191.

In accordance with federal law, students must provide an accurate Social Security Number to Galveston College. Failure to provide an accurate Social Security

Number may result in IRS fines of up to $50. Additionally, the IRS will not be able to use Form 1098-T to confirm eligibility for certain education tax benefits.

If my application is accepted, I agree to abide by the policies, rules and regulations at any college to which I am admitted. I certify that the information on this

application is complete and correct and I understand that the submission of false information is grounds for rejection of my application, withdrawal of any offer of

acceptance, cancellation of enrollment and/or appropriate disciplinary action. I understand that officials of my college will use the information submitted on this

form to determine my status for residency eligibility.

I authorize the college to verify the information I have provided. I also authorize the college to electronically access my records regarding the Texas Success

Initiative.

I agree to notify the proper officials of the institution of any changes in the information provided.

Signature

Date

Note - you must print and physically sign this document

CORE RESIDENCY QUESTIONS

Texas Higher Education Coordinating Board rule 21.25 requires each student applying to enroll at an institution to respond to the following set of core residency questions to

determining the student’s eligibility for classification as a Texas resident. All new students or students returning to school after being out at least twelve months are required to

answer the questions below. Follow the directions carefully to answer the appropriate sections.

PART A – STUDENT BASIC INFORMATION

Student Name

(

Last Name, First Name, Middle Initial)

Social Security Number

Date of Birth

PART B – PREVIOUS ENROLLMENT

1. During the 12 months prior to the term for which you are applying,

did you attend a public college or university in Texas in a Fall or

Spring term?

Yes

(Answer questions 2-5 in this section)

(Proceed to Part C below)

2. What public institution did you last attend?

3. In which terms were you last enrolled?

4. During your last term at a Texas public institution, did you pay resident

(in-state) or nonresident (out-of-state) tuition?

5. If you paid in-state tuition at your last institution, was it because you were classified as a Texas resident or because you were a nonresident who

received a tuition waiver?

Resident

(Proceed to Part I)

Nonresident with a Tuition Waiver

(Proceed to Part C below)

Unknown

(Proceed to Part C below)

PART C – RESIDENCY CLAIM

1. Are you a resident of Texas? 2. Of what state or country are you a

resident?

Yes

(Proceed to Part D below)

(Answer question 2 in this section)

Uncertain

(Proceed to Part D below)

(Proceed to Part I below)

PART D – ACQUISITION OF HIGH SCHOOL DIPLOMA OR EQUIVALENCY

1a. Did you graduate or will you graduate from high school or complete

an equivalency (GED) in Texas prior to the term for which you are

applying?

Yes

(Proceed to Question 1b in this section)

(Proceed to Part E below)

1b. Name/city of high school graduation

(Proceed to Question 2 in this section)

2. Did you live or will you have lived in Texas the 36 months leading up

to high school graduation or completion of the equivalency/GED?

Yes

(Proceed to Question 3 in this section)

(Proceed to Part E below)

3. When you begin the semester for which you are applying, will you

have lived in Texas for the previous 12 months?

Yes

(Proceed to Question 4 in this section)

(Proceed to Part E below)

4. Are you a US citizen or Permanent Resident?

Yes

(Proceed to Part I below)

PART E – BASIS OF CLAIM TO RESIDENCY

1. Do you file your own federal income tax as an

independent taxpayer?

Yes No

(Proceed to Question 2 in this section)

Are you claimed as a dependent or are you eligible to be claimed as a dependent by a

parent or court-appointed legal guardian?

(Note – the parent/guardian must provide at least

half of your support. Step-parents do not qualify unless the student has been adopted)

Yes

(Proceed to Part G below)

(Proceed to Question 3 in this section)

3. Who provides the majority of your support?

Self

(Proceed to Part F below)

Parent/Legal Guardian

(Proceed to Part G below)

Other

(Proceed to Part H below)

PART F – STUDENT RESIDENCY QUESTIONS

Answer all questions in this section

1. Are you a US Citizen?

Yes No

2. Are you a Permanent Resident of the US?

Yes No

3. Are you a foreign national whose application for Permanent

Resident Status has been preliminarily reviewed?

(You should

have received a Notice of Action [I-797] from USCIS showing your

application has been reviewed and not rejected)

Yes No

Reset Core Residency Form

4. Are you a foreign national here with a visa, a

refugee, asylee, parolee, or here under

Temporary Protected Status?

Yes No

5. Do you currently live in Texas?

Yes No

6. If you currently live in Texas, how long have you

been living in the state?

Years Months

7. What is your main purpose for

being in the state?

Go to College Work

Establish/Maintain a Home

Other

(explain in part H below)

8. If you are a member of the military, is

Texas your home of record?

Yes No

9. What state is listed as your military legal residence for tax

purposes on your Leave and Earnings Statement for the 12

months prior to enrollment?

10. Do you hold the title (Warranty, Deed of Trust, or other

similar instrument) to residential real property in Texas?

Yes No

11. Do you have ownership interest and customarily manage a business in Texas

without the intent of liquidation in the foreseeable future?

Yes No

12. While living in Texas, have you been gainfully employed for at least 12 consecutive

months?

(Gainful employment requires an average of 20 hours per week for 1 year or earnings

equal to at least half of tuition/living expenses for one 9-month academic year. Work study,

stipends, fellowships, or research/teaching assistantships do not count as gainful employment.)

Yes No

13. While living in Texas, have you received primary

support through services from a social service

agency for a period of at least 12 consecutive

months?

Yes No

14. Are you married to a person who has been classified as a Texas resident by a Texas

public institution or who could answer yes to questions 10, 11, 12, or 13?

Yes No

15. How long have you been married to the Texas

resident prior to enrollment?

Years Months

PART G – PARENT/GUARDIAN RESIDENCY QUESTIONS

Answer all questions in this section

1. Is the parent/guardian upon

whom you base residence a

US Citizen?

Yes No

2. Is the parent/guardian upon whom

you base residence a Permanent

Resident of the US?

Yes No

3. Is your parent/guardian a foreign national whose application for

Permanent Resident Status has been preliminarily reviewed?

(Your

parent/guardian should have received a Notice of Action [I-797] from USCIS)

Yes No

4. Is your parent/guardian a foreign national

here with a visa, a refugee, asylee, parolee, or

here under Temporary Protected Status?

Yes No

5. Does your parent/guardian currently

live in Texas?

Yes No

6. If your parent/guardian currently lives in Texas,

how long has he/she been living in the state?

Years Months

7. What is your parent/guardian’s

main purpose for being in the state?

Go to College Work

Establish/Maintain a Home

Other

(explain in part H below)

8. If your parent/guardian is a member of

the military, is Texas his/her home of

record?

Yes No

9. What state is listed as your parent/guardian’s military legal

residence for tax purposes on his/her Leave and Earnings

Statement for the 12 months prior to enrollment?

10. Does your parent/guardian hold the title to residential real

property in Texas?

Yes No

11. Does your parent/guardian have ownership interest and customarily manage

a business in Texas without the intent of liquidation in the foreseeable future?

Yes No

12. While living in Texas, has your parent/guardian been gainfully employed for at least 12

consecutive months?

(Gainful employment requires an average of 20 hours per week for 1 year or

earnings equal to at least half of tuition/living expenses for one 9-month academic year. Work study,

stipends, fellowships, or research/teaching assistantships do not count as gainful employment)

Yes No

13. While living in Texas, has your parent/guardian

received primary support through services from

a social service agency for a period of at least 12

consecutive months?

Yes No

14. Is your parent/guardian married to a person who has been classified as a Texas resident

by a Texas public institution or who could answer yes to questions 10, 11, 12, or 13?

Yes No

15. How long has your parent/guardian been

married to the Texas resident prior to

enrollment?

Years Months

PART H – GENERAL COMMENTS

List any additional information that you believe Galveston College should know in evaluating your eligibility to be classified as a resident.

PART I – CERTIFICATION

I understand that officials of Galveston College will use the information submitted on this form to determine my status for residency eligibility. I authorize the college to

verify the information I have provided. I agree to notify the proper officials of the college of any changes in the information provided. I certify the information on this

application is complete and correct and understand that the submission of false information is grounds for rejection of my application, withdrawal of any offer of acceptance,

cancellation of enrollment and/or appropriate disciplinary action.

Signature Date

Note - you must print and physically sign this form

BACHELOR DEGREE PROGRAMS (BAS)

Bachelor of Applied Science (BAS) degree programs are designed for students who complete Associate of Applied Science (AAS) program in a particular field of

study and want to further their education. Bachelor degree programs require 120 credit hours for completion.

BACHELOR PROGRAMS

Healthcare Management (BAS)*

ASSOCIATE OF ARTS DEGREE PROGRAMS (AA)/(AS)

An associate of arts/associate of science degree is a program of study requiring 60 credit hours for completion. This program normally satisfies the requirements for

the first two years of a four-year degree, which may be completed by the student upon transfer to a university. Programs of study for the Associate of Arts degree

parallel the first two years required for Bachelor of Arts and Bachelor of Science degrees at many senior colleges and universities.

AA/AS PROGRAMS

General Studies (AA) Engineering, Mechanical (AS)

General Studies (AS) English (AA)

Art (AA) Health & Physical Education (AA)

Biology (AS) Health Science - Clinical Lab Science (AS)

Biology/Pre-Professional Health (AS) Health Science - Occupational Therapy (AS)

Business Administration (AS) Health Science - Transfer Nursing (AS)

Chemistry (AS) History (AA)

Computer Science (AS) Mathematics (AS)

Criminal Justice (AA) Physics (AS)

Drama (AA) Political Science (AA)

Education - EC-6, Generalist (AS) Psychology (AA)

Education - Middle School Level Mathematics (AS)

Psychology (AS)

Education - High School Level Mathematics (AS) Sociology/Social Work (AA)

Engineering, Industrial (AS) Speech Communications (AA)

ASSOCIATE OF APPLIED SCIENCE DEGREE PROGRAMS (AAS)

An Associate of Applied Science Degree is awarded to students who have successfully completed an approved curriculum for a two year occupational program and is

usually sufficient for entrance into an occupational field.

AAS PROGRAMS

Cosmetology*

Nuclear Medicine Technology*

Culinary Arts

Nursing (ADN)*

Diagnostic Medical Sonography*

Nursing (EMT to ADN / LVN to ADN)*

Electrical/Electronics Technology

Radiation Therapy Technology*

Emergency Medical Services*

Radiography*

Heating/Ventilation/Refrigeration/Air Cond. Surgical Technology*

Medical Administration

Welding Technology

CERTIFICATE PROGRAMS

A Certificate program is an intensive program of study requiring less than 60 credit hours for completion. These programs are normally designed to provide short-

term training necessary to develop entry-level job skills without requiring completion of an associate degree.

CERTIFICATE PROGRAMS

Computerized Tomography* Heating/Ventilation/Refrig/Air Cond - Advanced

Cosmetology* Law Enforcement Academy*

Cosmetology Instructor* Magnetic Resonance Imaging*

Culinary Arts Medical Coding

Electrical/Electronics Technology: Basic Medical Records Technician

Electrical/Electronics Technology: Intermediate Radiation Therapy Technology*

Electrical/Electronics Technology: Advanced Surgical Technology*

Emergency Med Services: Intermediate* Vocational Nursing*

Emergency Med Services: Paramedic* Welding Technology - Basic

Heating/Ventilation/Refrig/Air Cond - Basic Welding Technology - Intermediate

Heating/Ventilation/Refrig/Air Cond - Intermediate Welding Technology - Advanced

* Programs with an “*” are special admission programs and require additional admission requirements for acceptance.

Fill Online, Printable, Fillable, Blank APPLICATION FOR ADMISSION (Galveston College) Form

Related forms

Fillable APPLICATION FOR ADMISSION (Galveston College)

Fill Online, Printable, Fillable, Blank APPLICATION FOR ADMISSION (Galveston College) Form

Related forms

First 20 documents completely FREE!