Printable Application

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.
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□
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□
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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
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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.