AMSC Application for Readmission Form

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ATLANTA METROPOLITAN STATE COLLEGE
Office of the Registrar
1630 Metropolitan Parkway S.W.
Atlanta, GA 30310 - 4498
Office (404) 756-4001

APPLICATION FOR READMISSION

Welcome Back! This readmission application is for returning students who have not attended Atlanta Metropolitan State College (AMSC) within the last three or more consecutive semesters. Please note that a copy of your driver’s license or state id is required to verify Lawful Presence according to the University System of Georgia guidelines. Application for Readmission and ALL required documents should be received by the Office of the Registrar by the term deadline date in order to be considered for readmission.

Deadline Information: Fall Deadline: July 15 | Spring Deadline: November 15 | Summer Deadline: June 1

Requests will be processed within 7 - 10 business days

PERSONAL INFORMATION

Last Name:

First Name:

Middle Name:

Maiden name or other names that may appear on your transcripts, test scores, or other documents you may have used in the past at AMSC.

Social Security #:

Date of Birth:

Email:

Home Number:

Work/Cell Number:

Street Address:

Apartment Number:

City:

State:

Zip:

County:

Emergency Contact:

First Name:

Last Name:

Relationship to Applicant:

Emergency Contact Phone:

READMISSION CATEGORIES

Term and year you plan to enroll:

Last Dates of Attendance at AMSC:

From:

To:

Student Type:

Degree/Program of Study

DEMOGRAPHICS (OPTIONAL)

Gender:

Are you Hispanic or Latino?

Ethnicity/Race:

American Indian/Alaskan Native

Asian

Black/African American

Native Hawaiian/Pacific Islander

White

CITIZENSHIP

Citizenship:

Place of Birth

City:

State:

PARENT/GUARDIAN EDUCATION

What is the highest level of education obtained by?

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