Section 6 Georgia Residency Information
Are you applying for in-state tuition? If YES, verification documents* will be required.
* Verification documents may include current driver’s license, state ID, certified birth certificate, or current US passport. For a complete list of acceptable documents,
visit ww w . n o r t h ga t ec h . e d u and select the Admissions tab. Failure to provide documentation impacts tuition and requires repayment of financial aid.
Have you been a Georgia resident for the past 12 consecutive months?
If you are 24 years of age or younger, did your parent(s) claim you on the most recent tax return filed?
If YES, what is the state of legal residence of the parent who claimed you?
If YES, indicate how long parent has lived continuously in the state listed above.
Section 7 Data Collection
Did your father graduate from college?
Did your mother graduate from college?
Are you currently an active duty member, veteran, member of the National Guard, or Reservist in the U.S. Armed Forces?
Are you a dependent/spouse of an active duty member, veteran, member of the National Guard, or Reservist in the U.S. Armed Forces?
Section 8 High School / GED Information
Graduated from High School
Earned a General Equivalency Diploma (GED)
Attending Adult Literacy or GED Classes
Projected Graduation Year:
Section 9 College Information
List all previous colleges, universities, or technical colleges ATTENDED – including NGTC. (May attach additional sheet)
List most recent school first – Do NOT include schools attended for continuing education or GED classes.
Pursuant to O.C.G.A. 16-10-20, it is a felony to make a false statement on any state document.
In addition, making a false statement on this application may result in your dismissal from the college.
I certify that the foregoing information contained in this application is true and correct. I understand that misrepresentation or omission of information will be sufficient cause
for rejection or dismissal. I intend to abide by the rules and regulations of North Georgia Technical College. I understand that the application fee is a non-refundable fee. All
materials submitted for application become the property of North Georgia Technical College and will not be returned to the applicant.
My signature on this application is my acknowledgement and consent for NGTC to use my photograph for promotional purposes in publications. I understand that I can
withdraw this permission by notifying the Admissions Office in writing and NGTC will not utilize the photograph in future publications.
I give North Georgia Technical College permission to contact me at the telephone numbers I have provided via any means, including text message or voice.
The statements set forth in this application are for informational purposes only and should not be construed as the basis of a contract between a student and this institution.
While provisions of this application will be applied as stated, NGTC reserves the right to change programs and services without prior notice.
P.O. Box 65, 1500 HWY 197 N
Clarkesville, GA 30523
706-754-7700
admissions@northgatech.edu
Toccoa, GA 30577
706-779-8100
admissions@northgatech.edu
Blairsville, GA 30512
706-439-6300
admissions@northgatech.edu
North Georgia Technical College does not discriminate on the basis of race, color, creed, national or ethnic origin, gender, religion, disability, age, political affiliation or belief, genetic information,
disabled veteran, veteran of the Vietnam Era, or citizenship status (except in those special circumstances permitted or mandated by law). For complaints or information, contact Mike King, VP of
Student Affairs (706- 754-7711, Title VI, IX, II), or Kay Morgan, special services contact (706-754-7828, Sec. 504/Title I/ADA) at 1500 HWY 197 N, Clarkesville, GA 30523.
This institution is an equal opportunity provider and employer. If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found
online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested
in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C.
20250-9410, by fax (202) 690-7442 or email at program.intake@usda.gov. 8/29/16
