UNDERGRADUATE APPLICATION FOR ADMISSION

IF YOU ARE AN ENTERING FRESHMAN

Complete the application form (7 pages). Be sure to attach your $30 non-refundable application fee payable to Georgia Southern University (check or money order only, please). Be sure your date of birth and signature are on your application form and on your check or money order. Ask your high school counselor to mail your application, along with your official* high school transcript, to: Office of Admissions, Georgia Southern University, P.O. Box 8024, Statesboro, GA 30460-8024 When you take the SAT or ACT, request that a copy of your score report be sent to Georgia Southern. Our school code is 5253 for the SAT and 0830 for the ACT.

IF YOU ARE A TRANSFER STUDENT

Complete the application form (7 pages). Be sure to list all of the colleges you have previously attended. Be sure your date of birth and signature are on your application form and on your check or money order. Be sure to attach your $30 non-refundable application fee payable to Georgia Southern University (check or money order only, please). Submit the application form to the Office of Admissions, Georgia Southern University, P.O. Box 8024, Statesboro, GA 30460-8024. Request an official* transcript from each college you have previously attended. If you have completed fewer than 30 semester or 45 quarter hours have your high school send us your official* transcript and make sure it includes your SAT/ ACT scores. If not, then please submit the scores separately from the testing agency. Our school code is 5253 for the SAT and 0830 for the ACT.

APPLY EARLY FOR ADMISSION

In order to be processed for admission for a specific term, applications must be received by the Office of Admissions by the following dates: Fall Semester May 1 (freshman) / August 1 (transfer or Accel/joint enroll) Spring Semester December 1 Summer Semester April 1 Normally, all students who have applied or updated their applications prior to the application deadline for a specific term will be considered for admission. However, the University reserves the right to cease accepting or processing applications at any time. Therefore, students are encouraged to apply or update well in advance of the application deadline for their intended term. International applicants must submit materials 30 days prior to the standard deadline.

REQUIRED HIGH SCHOOL CURRICULUM

Students who graduate from high school in 2012 or later must present credits for seventeen (17) specified units. Students who graduated earlier than 2012 must present credit for sixteen (16) specified units. The 17 (16 for students who graduated in 2011 or earlier) specified USG units are: 1. 2. 3. Mathematics: Four (4) units of Mathematics, including Algebra I, Algebra II, and Geometry. For students who graduate from a Georgia public school in 2012 or later, the 4 units of Mathematics must include a course at the level of Math 3 or higher. English: Four (4) units of English which have as their emphasis grammar and usage, literature (American, English, World), and advanced composition skills. Science: Students who graduate in 2012 or later must have four (4) units of science. Three (3) units of science are required for those who graduated in 2011 or earlier. Students need at least one laboratory course from the life sciences and one laboratory course from the physical sciences. Georgia public high School graduates must have at least one (1) unit of biology, one (1) unit of physical science or physics, and one (1) unit of chemistry, earth systems, environmental science, or an advanced placement science course. Social Science: Three (3) units of social science, with at least one (1) course focusing on United States studies and one (1) course focusing on world studies. Foreign Language: Two (2) units in the same foreign language emphasizing speaking, listening, reading, and writing. Two (2) units of American Sign Language may be used to satisfy this requirement.

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Students will be accepted during their senior year based on high school average and SAT/ACT scores on the condition that the course requirements will be met. The courses required for regular admission to institutions of the University System represent the minimum standards set forth by the Board of Regents. Contact the Office of Admissions for specific information at admissions@georgiasouthern.edu or 912-478-5391. If your first language is not English, we will require the Michigan Test in addition to the TOEFL.

*To be official, transcripts must be sealed and mailed to Georgia Southern by the school that you attended or submitted through gacollege411.

STUDENT NAME Last Name Suffix (Ex: Jr, Sr, II, III) First Name Preferred First Name Middle Name Former Name

MAILING ADDRESS Street State Zip City Country

CONTACT INFORMATION Home Phone Number E-mail Address Daytime Phone Number Cell Phone Number

BIOGRAPHICAL INFORMATION Social Security Number Race (Check all that apply) Ethnicity Date of Birth Citizenship Status American Indian/Alaskan Native Native Hawaiian/Pacific Islander Hispanic City of Birth Born U.S. Citizen Naturalized Citizen Sex Male Asian White Non-Hispanic Country of Birth Permanent Resident (Foreign U.S. Resident) Alien (Foreign Non-resident) Female Black/African American

If non-resident alien or permanent resident, what is your country of citizenship? If you currently reside in the U.S. but are not a U.S. citizen or a permanent resident, what is your current immigration status? Provide visa type and number: How long have you lived in the US? Native Language English Other Month(s) Have you taken the TOEFL? Yes Year(s) No

CAMPUS SPECIFIC INFORMATION Parent/Guardian 1/Spouse: First Name Street Phone Number Employer Title Last Name City E-mail Address Middle Initial State Relationship Father Mother Guardian/Other Student Spouse Suffix Zip Georgia Southern Graduate Yes No

Highest Degree Earned Never Attended High School Some High School High School Diploma Technical School Some College Bachelor Degree Masters Degree Professional Degree Doctoral Degree Last Name City E-mail Address Middle Initial State Relationship Father Mother Guardian/Other Student Spouse Suffix Zip Georgia Southern Graduate Yes No

Parent/Guardian 2: First Name Street Phone Number Employer Title

Highest Degree Earned Never Attended High School Some High School High School Diploma Technical School Some College Bachelor Degree Masters Degree Professional Degree Doctoral Degree

EMERGENCY CONTACT First Name Street State Zip Last Name Relationship City Phone Number

OTHER INFORMATION Have you ever been convicted of a crime other than a minor traffic violation? Yes No If yes, explain in 100 words or less.

Have you ever entered a plea of guilty, a plea of no contest, a plea of nolo contendere, an Alford plea to a criminal charge, or a plea under a first offender act? Yes No If yes, explain in 100 words or less.

Do you currently have disciplinary or academic misconduct charges pending against you from a high school or a postsecondary institution? Yes No If yes, explain in 100 words or less.

Have you ever been disciplined, suspended, or expelled for conduct code violations from a high school or a postsecondary institution? Yes No If yes, explain in 100 words or less.

ADMISSION INFORMATION Applicant Type High school graduate or will be graduating high school this year GED Accel/Joint Enrolled or Move on When Ready with Georgia Southern Joint Enrolled with another college Mature (out of high school 5 or more years) Transient (Will attend Georgia Southern for 1 semester only) Jr. College Transfer (Attending a 2-year institution) Sr. College Transfer (Attending a 4-year institution) Post Graduate (Already have a Bachelors degree) Which semester do you plan to enter? Fall Spring Summer Year

For major, please check one of the Undergraduate or Pre-professional programs: UNDERGRADUATE PROGRAMS Accel/Joint Enrolled Accounting Athletic Training Anthropology Art - Studio Art Art - 2D Drawing, Painting, Print, Paper & Book Arts Art - 3D Ceramics, Sculpture, Jewelry & Metals Art - Graphic Design Art History Biology Biology - Education Broadcasting Business Business - Education Chemistry Chemistry - Education Child & Family Development Communication Studies Community Health Computer Science Construction Management Early Childhood Education Economics Engineering - Civil Engineering - Electrical Engineering - Mechanical Engineering - RETP - Aerospace Engineering - RETP - Biomedical Engineering - RETP - Chemical & Biomolecular Engineering - RETP - Civil Engineering - RETP - Computer Engineering - RETP - Electrical * RETP (Regional Engineering Transfer Program) Transient Engineering - RETP - Environmental Engineering - RETP - Industrial Engineering - RETP - Materials Science Engineering - RETP - Mechanical Engineering - RETP - Nuclear & Radiological Engineering - RETP - Polymer, Textile & Fiber English English - Education Exercise Science Fashion Merchandising & Apparel Design Finance French/Modern Languages General Studies General Studies - Web Geography Geography - Education Geology German/Modern Languages Graphic Communications Management Health & Physical Education History History - Education Information Systems Information Technology Information Technology - Web Interior Design International Studies International Trade Journalism Justice Studies Logistics & Intermodal Transportation Transient East Georgia College Management Marketing Mathematics Mathematics Education Middle Grades Education Music Music Composition Music Education - Choral Sequence Music Education - Instrumental Sequence Music Performance - Instrumental Music Performance - Jazz/Piano Music Performance - Piano Music Performance - Voice Nursing Nutrition & Food Sciences/Dietetics Philosophy Physics Physics - Education Political Science Political Science - Education Psychology Public Relations Recreation Sociology Spanish/Modern Languages Special Education Speech Communication Sport Management Theater Undeclared Writing & Linguistics

PRE-PROFESSIONAL PROGRAMS Pre-Dentistry/Biology Pre-Dentistry/Chemistry Pre-Dentistry/Physics Pre-Law HIGH SCHOOL INFORMATION Full Name of High School Graduation Date Pre-Medicine/Biology Pre-Medicine/Chemistry Pre-Medicine/Physics Pre-Optometry/Biology Pre-Pharmacy/Biology Pre-Pharmacy/Chemistry Pre-Veterinarian

City

County

State

Senior year high school courses you have taken or will complete this year prior to enrolling at Georgia Southern University Course Title 1. Credit

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5.

6.

TEST INFORMATION Have you taken the SAT? Yes Yes Yes No What was the composite? Subject(s)? No No Have you taken the ACT? Have you taken AP exams? What was the combined Critical Reading & Math score? Did you have the scores sent to Georgia Southern? Yes Yes No No Did you have the scores sent to Georgia Southern? Date Taken

Have you taken International Baccalaureate? Yes No

Subject(s)?

Date Taken

CURRENT OR PREVIOUSLY ATTENDED COLLEGES College/University 1 City College/University 2 City College/University 3 City College/University 4 City College/University 5 City State State State State State

MILITARY SERVICE Are you currently active duty military or a family member (spouse or child) of someone who is active duty military? Yes* Yes* No No Are you currently a member of the Georgia National Guard or a family member (spouse or child) of someone who is a member of the Georgia National Guard? What is your (or your parent/guardian/spouse) home state of record?
*If you answer yes to any of the above military-related questions, you may be asked to provide a copy of your current military ID card and orders assigning you to a Georgia military installation.

RESIDENCY INFORMATION University System of Georgia students are responsible for registering under the proper tuition classification. In general, classification of in-state status for tuition purposes requires an individual to have established legal residency and domicile in Georgia for 12 consecutive months prior to enrolling. Residency is defined as the state and country where an individual currently lives. An individual may be residing in Georgia and may be classified as having established Georgia residency for securing marital status, a drivers license, or classification of taxpayer status but does not meet the qualifications to establish domicile in Georgia. Domicile is defined as a persons present, permanent home where that individual intends to stay indefinitely and to which that individual returns following periods of temporary absence. Temporary residence does not constitute the establishment of ones domicile. To acquire domicile, an individual must demonstrate intent to remain permanently or indefinitely. In accordance with Board of Regents Policy 4.3.4, any student applying for in-state tuition will be required to provide validation of their lawful presence in the United States and proof of Georgia residency in order to be granted in-state tuition status. Are you applying for in-state tuition? Yes No According to the definitions above, have you established and maintained legal residency and domicile in Georgia for at least 12 consecutive months immediately preceding the first day of classes for the term in which you plan to enroll? Yes No If you are under the age of 24, has a parent(s) or U.S. court-appointed legal guardian established and maintained legal residency and domicile (according to the definitions above) in Georgia for at least 12 consecutive months immediately preceding the first day of classes for the term in which you plan to enroll? Yes No IF YOU ANSWERED YES TO ANY OF THE ABOVE QUESTIONS, ALL OF THE FOLLOWING QUESTIONS MUST BE ANSWERED.

RESIDENCY INFORMATION What is your Georgia county of residence? Have you ever lived outside the state of Georgia? Yes No Months Years If you have lived outside the state of Georgia, how long have you continuously resided in the state?

If you have lived outside the state of Georgia, what was your primary reason for moving to the state of Georgia?

Have you attended a Georgia high school for at least one year? Yes Yes Yes Yes Yes Yes No No If yes, what state? If yes, what state? If yes, what state? If yes, what state? If yes, what state? First Name: No No No No Have you graduated, or will you graduate from a Georgia high school? Do you have a drivers license or state-issued ID? Do you own a motor vehicle? Do you have a voter registration? Did you file a state income tax return in the past year? Did your parent, court appointed legal guardian, or spouse claim you on their state income taxes in the last year? Yes No

Last Name:

Relationship:

Did your parent, court appointed legal guardian, or spouse claim you on their federal income taxes in the last year? Yes No

APPLICATION CERTIFICATION & GEORGIA SOUTHERN UNIVERSITY HONOR CODE 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 than 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. Georgia Southern University Honor Code On my honor, I pledge to be academically honest in all my coursework and will not tolerate the academic dishonesty of others. I also pledge to engage in ethical behavior on-campus and off-campus, to live an honorable lifestyle, and to create a campus environment that is characterized by individual responsibility, civility, and integrity.

Signature ________________________________________________________________

Date ___________________________________

Georgia Southern University Office of Admissions PO Box 8024 Statesboro, GA 30460 (912) 478-5391 admissions.georgiasouthern.edu