APPLICATION FOR ADMISSION Please note that all information must be completed before an offer of admission can be made. PERSONAL INFORMATION ____________________________________________________________________________________________ Last Name First Name Middle Name ____________________________________________________________________________________________ Social Security Number Previous Name(s) ____________________________________________________________________________________________ Permanent Address: Street, City, State, Zip (Do not list post office box, please.) How long have you lived at the address listed above? □ 12 or more months □ 3-12 months □ Less than 3 months ____________________________________________________________________________________________ Mailing Address: Street Address or PO Box, City, State, Zip (______)_______________________________ (______)_________________________________ Home Phone Number Cell Phone Number ____________________________________________________________________________________________ Email Address Date of Birth (month/day/year): Gender: ________________________________ □ Female □ Male Emergency Contact Information: ___________________________________________ Full Name Ethnicity (check all that apply): □ White □ Asian □ Black / African American □ American Indian / Alaska Native □ Hispanic or Latino □ Native Hawaiian / Other Pacific Islander Are you Hispanic or Latino Are you a veteran? □ Yes □ No □ Yes □ No CITIZENSHIP United States Citizen? Relationship __________________________________________________________ Home phone Work/Cell Phone How did you learn about Garrett College? □ College representative □ High school counselor □ High school coach □ Friends/family □ Postcard □ Newspaper advertisement □ Web search □ Billboard □ Other____________________________________________________ RESIDENCY □ Yes □ No DECLARATION OF RESIDENCY Country of birth:_____________________________________________ I am a legal resident of ________________________(State) Country of citizenship:________________________________________ ________________________________________(County) Is English your native (first) language? □ Yes □ No and have resided there for ____________________(length of time) prior to the first day of classes of the semester for which I am If you are not a U.S. citizen: a) Are you a permanent resident-alien? □ Yes □ No (If yes, please attach a copy of your Alien Registration card) b) Are you an F-1 Visa holder? □ Yes □ No applying to Garrett College. I have not established a temporary residence for the purpose of enrollment at Garrett College. (Documentation of residency may be requested.) If yes, list I-20 #___________________________________________ _______________________________________________ If no, indicate type of visa held _______________________________ Signature Date ADMISSIONS INFORMATION Semester you plan to enter Garrett College: □ Spring 2014 (January) □ Fall 2014 (September) □ Summer 2014 (June) □ New, first time attending college for credit classes □ Attending Garrett while still enrolled in High School □ Transfer, attended another college but taking classes at Garrett for the first time □ Readmit, have taken credit courses at Garrett but not in the past two years □ Visiting, enrolled at another post-secondary institution but taking courses at Garrett Check all that apply: Educational Goals: Please check all that apply and list your intended program of study code, which can be found on the back cover of this application. □ □ □ □ □ □ Finish a two-year degree and immediately enter the work force (program code:____________) Finish a two-year degree and transfer to a four-year institution (program code:____________) Transfer prior to degree completion (program code:____________) Finish a certificate for career advancement (program code:____________ ) Take college classes for personal interest, not degree –seeking (program code: _080_) Other ____________________________________________________________________________________________________ Expected enrollment status: □ Full-time □ Part-time Expected housing status: □ Residence Hall □ Commuter (from home) Are you interested in participating in sports at Garrett College? □ Yes □ No □ Men’s Baseball Did you participate in high school varsity sports □ Yes □ No If so, which sport(s): □ Women’s Volleyball □ Men’s Basketball □ Women’s Softball □ Coed Golf □ Women’s Basketball □ Coed Cross-Country If so, which sport(s):)__________________________________________________________ EDUCATIONAL HISTORY I have graduated or will graduate from high school (or GED graduation) month _____________ year ____________ Name of High School___________________________________________________________ City________________________________ State_________ -OR- Name of Home Schooling Program___________________________________________ City________________________________ State_________ -OR- GED Issuing State ___________________________________________________________ Please list universities, colleges or trade schools previously attended (most recent first): School Name City and State Date Entered If you attended another college/university, are you eligible to return to the last institution you attended? Date Left Degree Earned □ Yes □ No OFFICIAL TRANSCRIPTS: Please note that official high school transcripts or GED test results, and official college transcripts from all previous institutions must be received in the Office of Admission prior to acceptance. Please contact all prior institutions and request official transcripts be sent directly to Garrett College Admissions Office. CERTIFICATION OF INFORMATION I certify that the information which I have given on this application is complete and accurate. I understand that failure to provide accurate information, particularly regarding residency, may be just cause for dismissal from the college. I understand that it is my responsibility to notify the Admissions Office of any change in information contained in the application. In making this application, I accept and agree to abide by the policies, procedures, and regulations of Garrett College as set forth in this application and the College Catalog, as well as any addendums to said Catalog. Note: Catalogs are available on-line at www.garrettcollege.edu. ____________________________________________________________________ _____________________________ Signature Date OFFICE USE ONLY: Accept Date: ___________________ Entered By: __________ Residency: □ IC □ OC □ OS Hold for: ____________________ Please indicate your main program of interest on page two of the application using the program codes listed below: Associate in Applied Sciences (A.A.S.) Associate of Science in Engineering (A.S.E.) These programs are designed for immediate entry into the workforce: This program is designed for transfer to Maryland four-year institutions: 207 Adventure Sports Management 203 Natural Resources and Wildlife Technology Business and Information Technology 201 Business Management 212 Computer Applications for Business 226 Graphic/Web Design 221 Network Administration Associate in Arts (A.A.) These programs are designed for transfer to a four-year institution: 350 Business Administration 300 Fine & Performing Arts 360 General Studies 330 Liberal Arts 320 Mathematics/Science 310 Social & Behavioral Sciences 311 Social & Behavioral Sciences – Psychology, FSU Transfer 312 Social & Behavioral Sciences – Social Work, FSU Transfer 340 Wildlife/Fisheries Teacher Education 378 Early Childhood Education (Transfer out-of-state) 381 Early Childhood Ed/Special Ed (Transfer in-state) A.A.T. 370 Elementary Education (Transfer out-of-state) 380 Elementary Ed/Special Ed (Transfer in-state) A.A.T. 376 Physical Education: Recreation Concentration 372 Physical Education: Teaching & Coaching Concentration 371 Secondary Education Associate of Arts in Teaching (A.A.T.) These programs are designed for transfer to Maryland four-year institutions: 381 Early Childhood/Special Ed (Transfer in-state) A.A.T. 380 Elementary Ed/Special Ed (Transfer in-state) A.A.T. 325 Electrical Engineering Certificate Programs These programs provide job-entry knowledge and skills, as well as college credit: 116 Adventure Sports Management 101 Business Management 114 Computer Applications for Business 122 Computer Repair/Network Technician 125 Cyber Security 126 Graphic/Web Design 121 Network Administration Transfer Programs These programs require transfer for completion. Most are designed for transfer to Allegany College of Maryland (ACM). Please note that a degree is not awarded from Garrett College: 392 Pre-Culinary Arts, ACM Transfer Allied Health Services 364 Pre-Dental Hygiene, ACM Transfer 366 Pre-Human Services Associate, ACM Transfer 384 Pre-Medical Assistant, ACM Transfer 365 Pre-Medical Lab Technician, ACM Transfer 362 Pre-Nursing, ACM Transfer 363 Pre-Nursing, Davis & Elkins College Transfer 385 Pre-Occupational Therapy Assistant, ACM Transfer 386 Pre-Physical Therapy Assistant, ACM Transfer 367 Pre-Radiologic Technology, ACM Transfer 368 Pre-Respiratory Therapy, ACM Transfer Special Non Degree-seeking This program code is for those not seeking a degree or certificate and not applying for financial aid. 080 Undeclared • • • • • Application Check List Complete the application for admission and submit to: Garrett College Office of Admissions 687 Mosser Road McHenry, MD 21541 Request that an official copy of your high school transcript be sent directly to the Office of Admissions Have official transcripts from all higher education institutions sent directly to the Office of Admissions Submit official scores for all tests previously taken ( ACT, AP, CLEP, IB, SAT, TOEFL) The ACT code for Garrett College is #1695 The SAT code for Garrett College is #5279 Schedule and take the ACCUPLACER test, if required for English, math, and reading placement File the Free Application for Federal Student Aid (FAFSA) at www.fafsa.gov as soon as possible after January 1 and before March 1, if possible. The FAFSA code for Garrett College is #010014. Please do not hesitate to contact the Office of Admissions at 301-387-3044/toll-free 866-554-2773, ext. 3044, or email [email protected] for assistance throughout the application process. There is no application fee.
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