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I. Personal Information

Providing your Social Security number will facilitate the review of your application for determining tuition classification status and matching your application with other schools records including but not limited to transcripts and financial aid applications.

Other Names
if different from above, or other name(s) that appear on your records

Mailing Address
Address to which all admission correspondence should be mailed

Permanent Address

Contact Information

Emergency Contact

Classification Questions

What is your race?

What is the highest level of education obtained by your parent(s)/guardian(s)?

Place of Birth

II. Enrollment Information

Please Indicate all Colleges Attended

First College

Second College

Third College

Fourth College

Testing Information



III. Tuition Classification

If you have ever lived outside the state of Georgia and now live in Georgia, how long have you continuously lived in the state of Georgia at this time?

If you are a non-resident alien or permanent resident, please complete the remainder of this section, otherwise SKIP to Military Information Section.

(Students participating in Online programs are ineligible for I-20 VISAs)

How long have you lived in the USA?

TOEFL Information

IV. Military Information

If Yes:

If Yes:

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

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: Anyone suspecting his or her sensitive personal data has been exposed to unauthorized access, report your suspicion to Otherwise, questions concerning GDPR can be forwarded to Submission of this application provides consent to and acknowledgement of the USG Privacy Policy.