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Atlanta Technical College
➤
Transient Agreement Student Request
Transient Agreement Student Request
Enrollment Services
HOURS:
Mon–Thurs 8am-7pm
Fri & Sat 8am-2pm
CONTACT:
404.225.4400
Step
1
of
3
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Transient students must adhere to the policies and procedures of Atlanta Technical College and the host institution. Once this form is approved, an official letter of transiency will be sent to the host institution. All further directions and inquiries must be directed towards the host institution.
A formal admissions application must be submitted to the institution for which this transient permission form is requested. It is your responsibility to comply with the transient institution(s) admissions standards and application deadlines.
I understand that the only method of financial aid that can be used as a transient student are “HOPE” state funds. If LOANS or PELL are my only source of aid, then it cannot be used as a method of payment while attending a host school as a transient student. I will be responsible for paying all tuition costs and student fees related to attending this host school.
Please Check the Box saying you understand the above statement:
*
I Understand
Student ID
*
Email Address
*
Phone Number
*
Program of Study
*
Degree Type
*
Degree
Diploma
Certificate
Transient Term
*
Fall
Spring
Summer
Transient Year
*
Student Information
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Transient (Host) School Information
Name of Transient School
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Please list courses you plan to register as a transient student. It is your responsibility to contact the institution for courses offerings and other vital information (such as course descriptions and fees) prior to completing the form. This transient agreement form is only valid for one term. A new request form must be completed each term you plan to enroll as a transient student.
Course(s) to be taken at transient institution
*
Course Prefix
Course #
Course Title
Credit Hours
Please note:
Transient hours equate to transfer hours and no more than 75% of a program’s total number of credit hours can be transferred into Atlanta Technical College.
At the end of the transient semester, you are responsible for requesting an official transcript from the host institution. Transcripts can be hand-delivered or mailed to the institution (Attn: Office of the Registrar).
Atlanta Tech only applies final grades to your academic transcript. Quality points are not configured into your GPA.
I understand the transient policy and as a result requesting permission to take the above listed course(s).
*
I understand
I understand that I must request an official transcript from the transient institution as we must have it on file to apply the credit to your academic records at Atlanta Technical College
*
I understand
By entering my name below, I certify all information is true and correct to the best of my knowledge.
*
I agree
Full Name
*
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