Re-Admit Application

If you were not enrolled at CTC this previous quarter, but have attended CTC within the past five years, please use this Re-admit Application.

If your last date of enrollment was more than five years ago, please apply as a new student.

Asterisk (*) indicates a required field.

Section A

*Columbus Technical College Student ID Number (9 digits):

*Email:

*Last Name:

*First Name:

Middle Initial:

Other Names:

*Do you have a name change?
Yes
No

If yes, please complete the following.

*New Name: (required if your name has changed)

*Has your address or phone number changed?
Yes
No

*Address:

Apt:

*City:

*State:

*Zipcode:

*County:

*Day Telephone:

Night Phone/Cell:

Dates of Previous Enrollment

Beginning enrollment dates:
Month: and Year:

End enrollment dates:
Month: and **Year:
** If your date of last enrollment was more than 5 years ago, please do not use this form. You must apply as a new student.

Section B

*Are you a Georgia Resident?
Yes
No

If yes, how long?
Year(s): and Month(s):

Documents proving residency may be required.

*Are you military Active Duty (or a Dependent) stationed in Georgia?
Yes
No

*Are you a Georgia Senior Citizen (over 62 years of age)?
Yes
No

Section C

*Are you a U.S. Citizen?
Yes
No

Section D

Program of Study:

A change of major may affect your financial aid status.

Select level of study:
Associate Degree
Diploma
Certificate

Quarter you plan to enter:
Summer
Fall
Winter
Spring
Year:

Have you attended another college/university since you were enrolled in Columbus Technical College?
Yes
No

If yes, please provide an official transcript from that institution.

Section E

*Has your emergency contact information changed?
Yes
No

Please Read

* required I certify that the information I have given is correct to the best of my knowledge. I understand that failure to provide information may invalidate my application for admission. I also understand that if I do not attend, my application and related papers (transcript, etc.) will be retained for one year and will then be destroyed. Upon acceptance, I agree to abide by the rules, regulations and guidelines as set forth in the Student Handbook. If I am eligible for the HOPE Grant or HOPE Scholarship; I agree to have the $35 instructional technology fee deducted from my HOPE book allowance.

Columbus Technical College does not discriminate on the basis of race, color, creed, national or ethnic origin, gender, religion, disability, age, political affiliation or belief, disabled-veteran status, veteran-of-the-Vietnam-Era status, or citizenship status (except in those special circumstances permitted or mandated by law).

The following person has been designated to handle inquires regarding the nondiscrimination policies that include Title IX and Section 504. Inquires concerning the administration of this nondiscrimination policy should be addressed to:
Patricia Hood
Director of Human Resources
Columbus Technical College
928 Manchester Expressway
Columbus, Georgia 31904-6572
706.649.1883

Columbus Technical College reserves the right to change or amend its regulations, curricula, fees, and administrative procedures without prior notice.