Albany State University Re-Admission Application for Graduate Programs

Students who have previously attended Albany State University graduate program and have not been in attendance for a semester or more (excluding Summer) are required to file an application for readmission. Students must be eligible to enroll in the same academic department in which they were last registered.

Name

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Permanent Address

Mailing Address

Mailing address - Same as above?*

Demographics Information

Gender:*
Are you currently living in the United States?*
Are you applying for In-State Tuition?*
Have you established and maintained 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?*
Do you hold a driver's license issued by the State of Georgia?*

Emergency Contact

Re-Admission Information

Online/On Campus*
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All Previous Educational Experience

Include any educational experience that you completed during your time away from Albany State University.

Are you currently enrolled?:*
Have you attended more than one college/university?*

If no, skip down on the form.

Are you currently enrolled at College University 2?
Are you currently enrolled at College University 3?
Are you currently enrolled at College University 4?
Are you currently enrolled at College University 5?

Teaching Certificate

Do you hold a Clear Renewable Teaching Certificate? (Please indicate NO if you are not pursuing a Master's in Education):*
Have you taken and passed all parts of the GACE Basic Skills Test?*

Additional Information

Are you currently active duty military or a dependent of someone who is?*
Are you currently a Veteran or a dependent of someone who is?*
Have you ever been convicted of a crime other than a minor traffic violation?*
Are there any criminal charges currently pending against you?*
Have you 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?*
Have you ever been disciplined, suspended, or expelled for conduct code violations from a postsecondary educational institution?*

Please type out your full name and today's date.

i.e. - Letter with Appeal Results / Letter of Readmission to the University

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