Aiken Technical College
Guest Student Application
Social Security No.:_____/____/_______ _________________________________________________________
Last Name First Name MI Former/Maiden
Mailing Address:
______________________________________________
P.O. Box or Street
______________________________________________
City State Zip Code
County of Residence: ____________________________
Home Phone (_____)______________________________
Work Phone (_____)______________________________
Email: _________________________________________
1. Birth date:
_____/_____/_______
5. Enrollment Plans:
2. Sex: _____Male _____Female ____Fall (Aug-Dec) ____Spring (Jan-May)
____Summer (May-July) Year 20_______
3. Ethnic Background:
Are you Hispanic or Latino? ____Yes ____No
What is your race/ethnicity? (Check one or more)
Students - Please be advised of the following:
It is important that you provide a valid email address with your application. Aiken Technical College
personnel will be contacting you via email regarding your registration.
Financial aid is not available for transient students.
Aiken Technical College does not guarantee the transferability of courses to your home institution. Please
talk with an advisor at your home institution to make sure you are taking courses that will transfer.
4. Citizen Status:
____United States Citizen ____Other
If other, what country_________________
____Immigrant/Permanent Resident
____Immigrant No.________________________
Date of Issue__________________________
Month/Day/Year
____Refugee (
Must present INS card at time of application)
____Visa (specify type of visa & present at time of application)
____Diplomatic ____Student Spouse ____Visitor
Permanent Address (if dierent from mailing address):
________________________________________________
Street
________________________________________________
City State Zip Code
Emergency Information:
Name ___________________________________________
Relationship_______________________________________
Phone (____) _____________________________________
American/Alaska Native
Asian
Black or African American
Hawaiian or Pacic Islander
White
Non-resident alien
Unknown
6. Residency:
Are you a legal resident of South Carolina?
Yes No
If yes, length of time in S.C.
:
Years Months
Are you a legal resident of Richmond or Columbia County
Georgia?
Yes No
If yes, length of time in GA:
Years Months
Are you currently on active duty or a dependent of an
active duty member of the U.S, Armed Forces stationed in
South Carolina or Richmond/Columbia County, Georgia?
_______Yes _______No
09/24/19
Aiken Technical College Course of Interest
Title: Course #: Course Section #:
Example: College Algebra - MAT | 110 | 031
Comparable Course of Home Institution
Title: Course #: Course Section #:
By completing this application and signing below, you agree to the best of your knowledge that all
information in this application is accurate and complete. When enrolled, you agree to abide by the
policies and regulations of Aiken Technical College.
VERIFICATION of ACADEMIC STANDING (to be completed by home institution ocial)
HOME INSTITUTION
The above named student is in good standing at:
Student’s last term of enrollment at Home Institution:
Signature of school ocial: Date:
Printed name and title of school ocial:
Guest Application Processed by Guest Application Processed On
Student Registered by Student Registered On
Student Notied by Student Notied On
Student Signature: Date:
Aiken Technical College Oce Use Only
For a listing courses available at ATC, visit our Current Courses page.
Please return completed application to the Enrollment Services Center (Room 152) via:
Home College/University:
Term of Attendance:
Summer 20 Fall 20 Spring 20
Mail: Enrollment Services Center
Aiken Technical College
P.O. Drawer 696
Aiken, S.C. 29802
Fax: (803) 593-6526
Email: admissions@atc.edu
9/24/19
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