AMSC Admission Update Form

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ATLANTA METROPOLITAN STATE
  COLLEGE
   Office of Recruitment & Admissions
1630 Metropolitan Parkway, S.W.
  Atlanta, GA 30310-4498
(404) 756-4004 Office

ADMISSION UPDATE APPLICATION

Applicants who previously submitted an application for admission within the last three (3) semesters, but did not attend, should submit a completed Admission Update Application to the Office of Admissions. Additional admission documents may be required if policies and procedures changed since your last application. Applicants who applied more than three (3) semesters ago must submit a new application.

Previous Semester Applied:

Update Semester Enrollment For:

PERSONAL INFORMATION:

Last Name:

First Name:

Middle Name:

StudentID#:

Date of Birth (DD/MM/YYYY)

Street Address

City:

State:

ZIP:

Cell Phone:

Home Phone Number

Email Address

PROGRAM STUDY:

Please provide your program of study.

CLASSIFICATION :

Classification (select one)

OTHER COLLEGES, UNINVERSITIES, OR TECHNICAL SCHOOLS ATTENDED:

An official transcript or a letter of good standing from ALL colleges previously attended must be submitted before the Admission Update Application is processed. List the nmber of ALL colleges, universities, or technical schools previously attended.

Names of Colleges, Universities, or Technical Schools

Dates Attended

I understand that any material false statement made knowingly and willfully by me on this application, or any documents attached hereto may, in accordance with O.C.G.A. 16-10-71, which provides that upon conviction, a person who knowingly commits the offense of false swearing shall be punished by a fine of not more than $1,000 or by imprisonment for not less than one nor more than five years, or both, subject me to prosecution in a court of law. Additionally, I further understand that any such false statement may subject me to immediate dismissal from the institution.

All personal data and special categories of sensitive personal data collected or processed by the USG must comply with the USG Cybersecurity Plan, as authorized by the Board of Regents Policy Manual Section 10.4 Cybersecurity: https://www.usg.edu/policies. Anyone suspecting his or her sensitive personal data has been exposed to unauthorized access, report your suspicion to helpde@usg.edu. Otherwise, questions concerning GDPR can be forwarded to gdpr@usg.edu. Signature (below) and submission of this application provides consent to and acknowledgement of the USG Privacy Policy.

Further, I certify that, to the best of my knowledge, the information submitted on this application is true and complete.

Check here to confirm you agree with the statement above and type in your name (signature) below.

Last Name:

First Name:

Middle Name:

Date

DO NOT FORGET TO APPLY FOR FINANCIAL AID TODAY AT WWW.FASFA.GOV.
ATLANTA METROPOLITAN STATE COLLEGE school code is 012165.
The University System of Georgia AA/EOE

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