1. Personal Information
Name: Gender:
(Last) (First) (Middle)
Local Mailing Address:
Home Phone:
Work Phone:
(City) (State) (Zip)
Cell Phone:
Home Institution Student ID # and
name(s) used while attending:
Home Institution:
Classification (check one): Freshman Sophomore Junior Senior - OR - Graduate Professional
Degree:
Major:
Are you graduating this semester? Yes No
Campus E-Mail Address:
Date of Birth:
Place of Birth:
H.S. Grad. Date:
(City, State)
Are you Hispanic or Latino Yes No
What is your race?(Choose one or more) White Black or African American Asian American Indian or Alaska Native
U.S. Citizen? Yes No
If foreign, of which country are you now a citizen?
State of Residence:
Alien registration receipt (“green card”) number:
If Georgia, County:
Type of Visa:
2. Courses Requested Enter all information for each course requested. Availability depends upon offering and space.
Host Institution:
Term Requested:
Is this an online course?(online policies vary by institution) Yes No
Have you ever applied to or attended the host institution? Yes No If yes, when?
Host Institution Student ID #:
Dept. Prefix &
Course Number
Section
Computer
Number/CRN
Day & Time
Credit
Hours
Course Title
1.
Alternate
2.
Alternate
I certify that the information furnished by me is true. I understand that my completed application does not guarantee a place in the
requested cross registration course(s). I agree to abide by all rules, regulations, practices, and policies of the host institution while
enrolled there. I authorize the host institution to send a transcript of the cross registration course grade(s) to my home institution.
Student's Signature:
Date:
3. Approvals REQUIRED
I certify that the above-named student has the approval of the
home institution listed above, is in good standing and is currently
enrolled.
I certify that the above-named student has met any and all
prerequisites for this course.
Required signature!
Home Institution Cross Registration Coordinator Date Academic Advisor (Print name) Date
Host Institution Cross Registration Coordinator Date
Academic Advisor (Signature) Date
Cross Registration Application must be TYPED
click to sign
signature
click to edit
click to sign
signature
click to edit
ARCHE Cross Registration Application, Page 2
NOTE: The "home institution" is the ARCHE institution at which a student is currently enrolled in a program for which academic credit is awarded (the
definition of a "program" shall be determined by the home institution). The "host institution" is the ARCHE institution at which a student would like to
attend a course through cross registration.
Eligibility Criteria Checklist
In good academic standing as defined by the home institution and meet all eligibility requirements set by home
institution. Students should check with their home institution’s Cross Registration Coordinator for detailed eligibility
requirements and deadlines specific to that school.
Currently enrolled at home institution in at least one course at the undergraduate, graduate, or professional level in a
program for which academic credit is awarded (the definition of a "program" shall be determined by the home
institution)
Not a first-semester freshman (unless cross registering in courses for purposes of ROTC training or marching band)
Requested course not offered concurrently during semester at home institution, and not a non-credit continuing
education course, workshop, seminar or for audit
Meet prerequisites (if any) for requested course, as defined by host institution
"Host institutions may choose to check prerequisites for courses through their institution. As part of the applicant process, students may
provide transcripts and/or other documentation to illustrate the necessary prerequisites have been met. Transcript and/or documentation
requirements will be determined by the host institution."
Meet all immunization and health requirements as required at host insitution
Meet all application deadlines
Have obtained required approvals from home and host institutions
Student's Cross Registration Procedure
A. Obtain a Cross Registration Application from home institution’s cross registration coordinator or registrar’s office. The
form also is available at http://www.atlantahighered.org/CrossRegistration. Complete first three sections.
B. Verify that the course requested is offered at host institution. Identify whether enrollment restrictions or prerequisites
apply for the requested course(s) offered by host institution.
C. Consult with home institution academic advisor to determine eligibility for cross registration. Complete the Course(s)
Requested section of the Cross Registration Application and have academic advisor sign it.
D. Consult with home institution’s cross registration coordinator to determine host institution’s registration procedure,
immunization requirements, etc., and have coordinator sign the Cross Registration Application. The home institution’s
cross registration coordinator will forward the application to the host institution and request approval for cross
registration. If the host institution course instructor’s or department’s approval is required, the student may be
directed to obtain the required signatures.
E. Once all approvals have been obtained, the host institution’s cross registration coordinator will register student for the
approved course(s) on a space-available basis after host institution's regularly enrolled or continuing students have
had first priority for registration. The host institution’s cross registration coordinator will inform the student of approval
and registration status. All applicable course fees must be paid to home institution when due by the home institution.
However, special fees (lab, parking, equipment lease, etc.) and security deposits must be paid to host institution.
F. Student must abide by all home and host institution policies and schedules regarding grades, exam dates, absences,
drop/add/ withdrawal, etc. To withdraw from a course, both the home and host institutions’ withdrawal procedures
must be followed. Changes in cross registration must be approved by both institutions’ cross registration
coordinators.
G. Some institutions do not allow cross registration during the summer. These institutions are indicated below.
H. If home institution does not participate in cross registration during the summer, student must seek admission to the
host institution as a transient student by contacting host institution’s admission office for application deadlines.
I. Seniors who are graduating at the end of the semester in which they are cross registered shall be responsible for
contacting the host institution coordinator to obtain an alternate grade report to provide to the home institution.
J. Students requiring disability accommodations for the requested classes should contact their home institution Disability
Support Coordinator at the time of application in order to permit time to arrange accommodations.
ARCHE Cross Registration Application Deadlines
Home institutions Cross Registration coordinator must submit request to host institution by this date.
Students should check with their home institution for earlier internal deadlines.
Semester System Fall: July 15 Spring: November 15 Summer (if applicable): April 15
Participating Institutions
Agnes Scott College*, Brenau University, Clark Atlanta University*, Clayton State University, Columbia Theological Seminary, Emory University*,
Georgia Gwinnett College, Georgia Institute of Technology, Georgia State University, Interdenominational Theological Center, Kennesaw State
University, Mercer University Atlanta, Morehouse College*, Morehouse School of Medicine*, Oglethorpe University, Savannah College of Art and
Design-Atlanta*, Spelman College*, University of Georgia, University of West Georgia*.
*does not participate in summer cross registration. 4-27-2016