Fillable Welcome to Southeastern Technical College (Southeastern Technical College)

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Welcome to Southeastern Technical College (Southeastern Technical College)

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Welcome to Southeastern Technical College
ADMISSIONS CHECKLIST
We want you to be able to begin class on time without any problems. To do that, we need to make sure your admissions and nancial aid les are
complete. We know prospective students get busy and forget to take time to make sure all their paperwork is complete, but you must take care
of these items to begin college:
1. Apply for admission and pay a one-time, nonrefundable fee of $25.00
Complete application for admission
Talk to a preadmissions Career Counselor about the programs available at STC
2. Apply for Financial Aid
Pick up forms and information on HOPE, PELL, VA, or other nancial aid
3. Request transcripts from high school / GED Testing Center and previous college or university
4. Schedule placement test or provide test results
You must either:
Provide acceptable placement test results, or
Provide a transcript from an accredited post secondary institution with a grade of ‘C’ or better in English and Math, or
Schedule and take placement test
5. Call to check to see if required documents have been received / completed
Admissions Oce:
Verify receipt of high school transcript / GED scores
Verify receipt of college transcript(s)
Financial Aid Oce - Failure to receive requested information will result in our inability to award you nancial aid
Free Application for Federal Student Aid (FAFSA)
HOPE Scholarship/Grant Application
CONSUMER INFORMATION
In compliance with federal law, Southeastern Tech is required to provide all prospective students with the opportunity
to request data on crimes committed on our campus and our College safety and security policies. This information
can be obtained from the Southeastern Technical College Catalog and Student Handbook on our website. Go to www.
southeasterntech.edu, move your mouse over the Student Aairs tab, click on the Catalog & Handbook link and then on
Campus Security. Prospective students who wish to obtain a copy of this report and who do not have access to the Catalog
and Handbook on the Internet may obtain a copy by contacting: Dr. Barry Dotson, Vice President for Student Aairs.
As set forth in its student catalog, Southeastern Technical College does not discriminate on the basis of race, color, creed, national or ethnic
origin, gender, religion, disability, age, political aliation or belief, genetic information, veteran status, or citizenship status (except in those
special circumstances permitted or mandated by law). The following person(s) has been designated to handle inquiries regarding the non-
discrimination policies:
• An individual with disabilities requiring assistance with publications, accommodations or activities of this technical college should contact: Helen
Thomas, Special Needs Specialist, ADA/Section 504 - Equity - Title IX (Students) - OCR Compliance Officer,
Office 108, PH: (912) 538-3126 • hthomas@southeasterntech.edu
• An individual with questions or concerns about our nondiscrimination policy on the basis of sex in education programs and/or activities should contact:
Lanie Jonas , Director of Human Resources, Title VI - Title IX (Employees) - EEOC Officer, Office 138B, PH: (912) 538-3230 • ljonas@southeasterntech.edu
• Inquiries concerning the application of these policies and procedures may be directed to the individuals listed above at:
Southeastern Technical College, 3001 East First Street, Vidalia, GA 30474 • (912) 538-3100 • 1-800-255-0056 (TDD)
Stay Connected with STC
twitter.com/stcgeorgia
on.fb.me/SoutheasternTech
youtube.com/user/SoutheasternTechColl
Ofce Use Only
Date Received Test Date
Receipt No.
Application for Admission for Credit Courses
SECTION 1: Personal Data - Please Print Neatly
Social Security Number Date of Birth (MM/DD/YY)
Name: Last, First, Middle - Print your name exactly as it appears on your social security card
Prior Name
Mailing Address City State
ZIp Code +4
County of Residence Home Phone Mobile Phone
Email Address Work Phone
SECTION 2: Statistical Data
(This information is required for purposes of reporting to the federal government,and will not be
used in determining admission status)
1. Gender
Male Female
3. Ethnic / Racial Group. Please select one or more races from the following ve racial groups:
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacic Islander
White
4. Did your father graduate from college?
Yes No Unknown
2. Are you Hispanic/Latino?
Yes No
5. Did your mother graduate from college?
Yes No Unknown
SECTION 3: Program Information
1. Desired Program of Study 5. Check the campus you plan to attend:
Vidalia Campus
3001 East First St, Vidalia, GA 30474
912-538-3100
Swainsboro Campus
346 Kite Rd., Swainsboro, GA 30401
478-289-2200
Other Campus
__________________________
6. Student Type:
Beginning Student (never attended any college)
Returning Student (previously attended Southeastern or
formerly Swainsboro Tech)
Transient Student (enrolled at another college, taking classes
at STC)
Transfer Student (previously attended another college)
Special Admit (non-award seeking)
High School (currently enrolled in High School)
2. Desired Specialization
3. Seeking
Certicate
Diploma
Degree
4. Desired Term for Entry
Fall Year:
Spring
Summer 20 _________
SECTION 4: Residency Information
Are you applying for in-state tuition? If yes, verication documents will be required. Yes No
4A. Are you a U.S. citizen? Yes No If YES, please go to section 4B.
If NO, are you a resident alien? Note: a resident alien card (green card) must be presented for tuition consideration.
Yes:
List country of citizenship:
No:
What is your current visa status? What is your country of citizenship? What is your country of birth?
The following information will be used to determine tuition rates and nancial aid
4B. Complete only the section below that describes you.
eligibility. Failure to provide accurate valid information may impact tuition.
I am under 24 years old and my parents or guardian
claimed me on their most recent tax returns.
1. What is your parent/guardian’s legal state of residence?
____________________________________________
2. How long have they lived continuously in the state
listed above?
____________ Years _____________ Months
I am under 24 years old and no one claimed me on
their most recent tax return
1. Have you or your parent(s) lived in the state of
Georgia for the last 12 consecutive months?
Yes No
2. Did you or your parent(s) le income taxes in
Georgia last year or this year?
Yes No
I am 24 years old or older
1. Have you lived in the state of Georgia for the last 12
consecutive months?
Yes No
2. Did you le income taxes in Georgia last year or this year?
Yes No
SECTION 5: Educational Data Educational transcripts and/or GED scores are required for completion of application.
1. Have you graduated from high school? Yes No
If yes, year of graduation: If no, do you have a GED?
Yes No
Are you receiving credits for this class at
your high school?
Yes No
Last level of high school
completed:
When will you graduate?
__________________________
Month Year
2. Last high school atended: City of High School State of High School Zip Code of High School
3. List below all colleges which you have attended, beginning with the most recent.
Do not list any institution attended for seminars and/or non-credit (C.E.U.) purposes. Students who do not list each previous institution attended for credit courses are subject to dismissal
without refund.
Did you graduate?
________________________________________________________ __________________________________ _________________________
Yes No
Name of Institution City, State Dates Attended
________________________________________________________ __________________________________ _________________________
Yes No
Name of Institution City, State Dates Attended
________________________________________________________ __________________________________ _________________________
Yes No
Name of Institution City, State Dates Attended
4. If you attended another institution, are you in good standing and eligible to re-enroll?
Yes No
If you checked No, why?
SECTION 6: Military Information
1. Are you currently active duty, a veteran, a member of the national guard, or a reservist in the U.S. Armed Forces? Yes No
If Yes, please specify:
Branch:
Active Duty Veteran National Guard Reservist Air Force Army Coast Guard Marine Navy
2. Are you a dependent/spouse of an active duty member, veteran, member of the national guard, or a reservist in the U.S. Armed Forces? Yes
If Yes, please specify:
Branch:
Active Duty Veteran National Guard Reservist Air Force Army Coast Guard Marine
No
Navy
SECTION 7: Emergency Contacts
Please list two people we may contact if we need to reach you.
____________________________________________________________________________________________________________________
Name
____________________________________________________________________________________________________________________
Name
______________________________
Phone
______________________________
Phone
Pursuant to O.C.G.A 16-10-20, it is a felony to make a false statement on any document. In addition, making a false statement on this
application may result in your dismissal from the college.
AUTHORIZATION: I give Southeastern Technical College permission to contact me at the telephone numbers I have provided via any means,
including text message or voice.
I intend to abide by the rules and regulations of Southeastern Tech. By signing and submitting this application and upon my admission to South-
eastern Technical College, I understand that my name, quotations, and photographic likeness – including video footage – may be used in all forms of
media for advertising, trade, and any other lawful purposes on behalf of Southeastern Technical College or the Technical College System of Georgia
and that I will not receive now or in the future any compensation for this usage. I also understand that my name, quotations, and photographic
likeness may be gathered from and posted to STC’s social media sites and website. I also realize that during my training at STC photographs may be
taken of me for use in promoting STC. I give my permission for the release of directory information as dened in the Catalog and Student Handbook.
Unless I notify Admissions by lling out a Directory Information Exclusion Form, I give permission for the above to be done.
Applicant’s Signature: ____________________________________________________________________________ __________________________
Name Date
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Welcome to Southeastern Technical College (Southeastern Technical College)

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Completed 25 July 2020

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