Gtc Application

501 Varsity Rd. Griffin, GA 30223 www.griffintech.edu 770-228-7348

GRIFFIN TECHNICAL COLLEGE

Complete and return with a non-refundable $15.00 application fee. Application fee good for one year. Application will be returned if each item is not answered. If item is not applicable, mark N/A. -

Last Name

Social Security #

Middle Initial

Mailing Address (include apartment, box or lot number)

Previous Names (if any)

Zip

State

City –

( ) Phone

First Name

County

Are you a legal resident of Georgia?

(You must have lived in GA at least 12 months.)

Are you a U.S. citizen?

If yes, how long have you resided in GA?

yrs

mos

If not,* what is your country of lawful residence or citizenship?

(Griffin Tech is not authorized by INS for student visas/non-resident-alien. *Please present Permanent Residence Card for copying.)

If you are under 24 years of age, did one of your parents claim you on their most recent tax return? Yes No If you answered yes, what is the state of legal residence of the parent who claimed you? How long have they lived continuously in that state? If you are over 24, (or under 24 and neither of your parents claimed you on their tax return) what is your state of legal residence? How long have you lived continuously in that state? The following information is for statistical purposes only and is not used for determining admission. Ethnicity: Amer. Indian/Alaskan Native Asian Black Hispanic/Latino White Pacific Islander / / Multi-racial If multi-racial, list two races

Sex: Male Female Birthdate

( ) Phone

Emergency Contact Person

Email Address Circle quarter you wish to enter: FALL Applying as:

New

WINTER

SPRING

Returning (date last attended

Program Desired

)

SUMMER

Year

( ) Alternate Phone

DAY

Circle session:

EVENING

Transfer Transient Special Admit Dual Enrollment (high school only) Joint Enrollment (high school only) Seeking: Diploma Degree Certificate

See list of programs on reverse side of this form.

Specialization (if required): GED Graduates complete this block and block for Non-Graduates:

High School Graduates complete this block: Name of High School ■ in state ■ out of country (non U.S. school) ■ out of state / Month/Year Graduated Type of Diploma: ■ College Prep ■ General ■ Tech Prep ■ Special Ed/Transition* ■ Certificate of Performance* Is this a home/correspondence school? YES NO (*Must obtain GED) Official Transcript Required! Any Prior College(s)? YES NO

Non-graduates / High School Students complete this block:

Name of Test Center ■ in state ■ out of country (non U.S. center) ■ out of state

Name of High School Attended Highest Grade Completed

Year Received

Must obtain High School Diploma or GED before Griffin Tech graduation. (Some certificate programs excluded.)

Official Transcript Required!

Where?

All Official Transcripts Required!

List any colleges currently attending: Have you ever been convicted of a felony?

YES

NO

(may affect licensure programs)

I certify that the above information is correct and that misrepresentation may result in invalidating my application.

Signature:

Date:

How did you hear about us? FOR OFFICE USE ONLY

Test Date:

Transfer Credits: TEST LS Classes: STATUS:

Reading RDG Regular

Writing

Math

ENG Provisional

Developmental

Algebra MAT

Special Admit

/

/

/

/

/

/

/

/

Cashier: Receipt # Date Received

Admissions Procedures Step 1 -Submit a completed application with a non-refundable $15.00 fee* to the Admissions Office. (*Former students may be exempt.) Step 2 -Take the admissions test if you have not taken the ACT, COMPASS, SAT, CPE or ASSET within the last five years. Transferable college credit (English & Math) may take the place of admissions testing. Some programs have additional requirements. Step 3 -Have official high school or GED and all college transcripts mailed in an official sealed school envelope to the Admissions Office. Complete a Transfer Credit Evaluation Request Form if you have transferable college credit. Step 4 -Visit the Financial Aid Office to see if you may be eligible for tuition assistance.

Financial Aid Financial aid is available in a variety of forms. The HOPE Grant is available to certificate and diploma students. The HOPE Scholarship may be available to degree-seeking students. In addition, Pell Grants, VA benefits, and other forms of aid are available. The most important step in obtaining financial aid is applying early. Call 770-228-7368 for details. Griffin Technical College does not discriminate in its educational programs, activities, or employment policies on the basis of race, color, creed, national or ethnic origin, gender, marital status, religion, Degree Programs disability, age, political affiliation or belief, disabled veteran, veteran of the Vietnam Era, or citizenship Accounting status (except in those special circumstances permitted or mandated by law). For Title IX (Sex Equity), Administrative Office Technology Air Conditioning Technology and Section 504, contact Lynn Futral, Vice President for Student Affairs at (770) 228-7348 or Miriam Applied Manufacturing Byrd, ADA Coordinator/VP for Administrative Services at (770) 228-7371. Automotive Technology Business Management Computer Information Systems • Computer Programming Specialist • Database Specialist • Internet Specialist: Web Site Design • Networking Specialist • Web Applications and Services Development Criminal Justice Technology Culinary Arts Drafting Technology Early Childhood Care & Education Electronics Technology Environmental Horticulture Forensic Science Technology Health Information Technology Industrial Systems Technology Orthopedic Technology Paralegal Studies Paramedic Technology Pharmacy Technology Printing/Graphics Technology Radiologic Technology Respiratory Care Technology Surgical Technology Associate of Applied Science - Technical Studies

Diploma Programs

Accounting Air Conditioning Technology Applied Manufacturing Automotive Collision Repair Automotive Fundamentals Business Management Business Office Technology Carpentry Computer Information Systems • Computer Programming Specialist • Database Specialist • Internet Specialist: Web Site Design • Networking Specialist • Web Applications and Services Development Construction Management Cosmetology Criminal Justice Technology Culinary Arts Dental Assisting Drafting Technology Early Childhood Care & Education Electrical Construction/Maintenance Electronics Technology Environmental Horticulture Forensic Science Technology Industrial Electrical Technology Industrial Systems Technology Machine Tool Technology Medical Assisting Orthopedic Technology Paralegal Studies Paramedic Technology Pharmacy Technology Practical Nursing Printing/Graphics Technology Surgical Technology Welding & Joining Technology

Griffin Technical College is accredited by the Commission on Colleges of the Southern Association of Colleges and Schools, 1866 Southern Lane, Decatur, Georgia 30033-4097 (404-679-4501). Griffin Technical College is a Unit of the Technical College System of Georgia.

Tuition and Fees

Tuition is $36 per credit hour to a maximum of $513. Quarterly mandatory fees include: student activity fee of $16, registration fee of $26, technology fee of $35 and an accident insurance fee of $4. Some specialized programs have a different fee structure. There is a $25 returned check fee. Fees are subject to change without notice.

Technical Certificates of Credit A+ CompTIA Certification Advanced Air Conditioning Technology - Light Commercial Advanced Air Conditioning Technology - Residential Systems Advanced Architectural Drafting Specialist Advanced Commercial Refrigeration Advanced General Machinist Air Conditioning Technician Assistant Architectural Drafting Specialist Auto. Transmission/Transaxle Tech Auto. Brake Technician Auto. Climate Control Technician Auto Collision Major Repair Assistant Auto Collision Painting and Refinishing Specialist Auto. Suspension & Steering Tech Basic Automotive Service Basic Dental Assisting Basic Gas Tungsten Arc Welding Basic Publication Design Basic Shielded Metal Arc Welding Basic Structural Steel Welding Business Office Specialist Cabinetmaking Assistant CAD Operator Car Audio Installation Carpenter Assistant Carpentry Framing Central Sterile Processing Technician Certified Construction Worker Certified Customer Service Specialist Certified Manufacturing Specialist Certified Warehousing & Distribution Specialist Chassis Technician CISCO Specialist (CCNA) CNC CAD/CAM Programmer CNC Specialist Commercial Truck Driving (Class A) Commercial Straight Truck & Passenger Driver (Class B) Computer Aided Drafting Specialist Computer Applications Specialist Computer Repair Technician Computerized Accounting Specialist Cosmetic Esthetician Culinary Services - Food Production Worker I Culinary Services - Prep Cook Data Entry Clerk Dental Infection Control Specialist Direct Support Professional Drafting Aide Early Childhood Program Administration Electrical Technician Electrocardiography Technology Emergency Medical Technician Intermediate Emergency Medical Technician (Basic)

Engine Repair Technician Entrepreneurship Fire Fighter I Fire Fighter II Fundamentals of Mill Operations Garden Center Technician Health Care Assistant Health Care Science Heating and Air Conditioning Installation Tech Hemodialysis Patient Care Specialist Human Resource Management Specialist Industrial Electrical Controls Tech Industrial Electrician Industrial Fluid Power Technician Industrial Maintenance Tech Industrial Motor Control Technician Industrial Mechanical Technician Industrial Welding Tech Infant and Toddler Child Care Specialist Installation & Support Technician Introduction to Programmable Controls Landscape Specialist Lathe Fundamentals Law Enforcement Specialist Lawn Equipment/Small Engine Repair Legal Office Assistant Light Commercial Air Conditioning Specialization Linux/Unix System Administrator Management/Leadership Specialist Manufacturing Team Supervisor Medical Billing Clerk Medical Coding Microsoft Office User Specialist Microsoft Windows Specialist MIG Welding (Gas Metal Arc) Nail Technician Office Accounting Specialist Ornamental Iron Fabrication Patient Care Assisting - PCA Phlebotomy Technician Polysomnography Technician Programmable Control Tech 1 Pro/E Design & Modeling Quality Assurance Technician Residential Plumbing School Age and Youth Care Service Sector Management Specialist Small Business Management Specialist Tax Preparation Specialist Telecommunications Service and Electronics Video Production Assistant Web Site Design Associate