TRANSIENT STUDENT REQUEST FORM
NAME:
EMAIL:
STUDENT ID/SSN: DATE OF
BIRTH:
ADDRESS:
PROGRAM OF
STUDY:
DEGREE DIPLOMA CERTIFICATE
LIST
THE COLLEGE WHERE YOU WISH TO TAKE TRANSIENT CLASSES
BELOW:
LIST THE COURSE(S) YOU WISH TO TAKE AS A TRANSIENT STUDENT
BELOW:
1)
Augusta Tech Course Number
=
1)
Host College Course Number
2)
=
2)
3)
=
3)
4)
=
4)
5)
=
5)
PLEASE ALLOW 5 TO 7 WORKING DAYS FOR YOUR REQUEST TO BE
PROCESSED.
SIGNATURE:
FOR OFFICE USE ONLY
PROCESSED
MAILED
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