Fillable Southern State Community College - ATS Application Form

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Southern State Community College - ATS Application Form

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ATS APPLICATION FORM
NOTE: DEGREE MUST BE APPLIED FOR PRIOR TO ATTAINING 60 CREDIT HOURS.
Name _________________________________________________________________________________ ID# ________________________________
Address _________________________________________________________ City ________________________________ State _____ Zip ___________
Telephone (Home) ______________________________ (Cell) ______________________________ (Work) ___________________________________
Education:
Certifica
tes or licenses:
Employment e
xperience:
Education ob
jective:
Areas of Concentration (Two Required):
Please write a statement justifying acceptance into an ATS program and why you feel the ATS degree is more
appropriate for you.
_____________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________
Student’s Signature______________________________________________________________________________ Date ________________________
___________________________________________________________ _______________________________________________________________
Dean’s Signature Date Academic Vice-President’s Signature Date
08/12
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SOUTHERN STATE COMMUNITY COLLEGE
ASSOCIATE OF TECHNICAL STUDIES
Program Summary
_______________________________ _____________________________
Student Name (Please Print) Date
_______________________________ _____________________________
Student ID # Faculty Signature
_______________
______________________ ___________________________________
Areas of Concentration (Two Required) Faculty Signature
Credit Hours
Course # Course Title
Course # Course Title
Credit Hours
Non-Tech: 30 credits required Technical: 30 credits required
__________________________________________
Registrar reviewed & approved Date
__________________________________________
Need a total of 60 credits
Dean’s Signature Date
to graduate.
Credits Remaining:
Technical
Non-Technical
Other
Total needed: ____
** Please contact the SSCC Webmaster at webmaster@sscc.edu for suggested updates or changes to this form **
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Southern State Community College - ATS Application Form

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Completed 4 May 2020

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