COLUMBUS STATE UNIVERSITY

Undergraduate

Admission Application

How to Apply
Applicants to CSU must submit the following: 1. A properly completed and signed official application for admission 2. A $40 one-time non-refundable application fee (not required of former CSU students) 3. An immunization record showing immunity to measles, mumps, and rubella, chicken pox, tetanus, and possibly hepatitis B (depending on age). 4. In addition, the following documents are required for consideration for admission: (Use this form as a checklist.)

K Students should request that an

official transcript be sent directly to the CSU Enrollment Services Office from each college attended. Transfer students must have a minimum cumulative GPA of 2.0 on a 4.0 scale and be eligible to return immediately to the last college attended. Note: Research has shown that a greater rate of success is achieved by students who attempt the Regents Test immediately after completing freshman English. You are encouraged to attempt the Regents Test as soon after your freshman English as possible.

Areas of Study
If you are undecided about a major area of study, please indicate the major you are most likely to pursue. Students who are accepted will be assigned a faculty advisor who will assist in planning a course of study and, if desired, assist the student in changing majors.

Baccalaureate Degree Programs (4-year)

Accounting Art Art Education Biology Biology and Secondary Education Chemistry Applied Track Professional Track Chemistry and Secondary Education Communication Communication Studies Mass Media Public Relations Computer Science Applied Track Games Track Systems Track Criminal Justice Early Childhood Education Earth & Space Science (Geology) Astrophysics & Planetary Geology Environmental Science Geology Secondary Education Teacher Certification Track English Language and Literature Literature Professional Writing Creative Writing English and Secondary Education Exercise Science Finance French Teacher Certification Track Non-Certification Track General Business Health and Physical Education Health Science History History and Secondary Education Information Technology (online or on campus) Liberal Arts Management (Human Resources) Management Information Systems Marketing Mathematics Applied Mathematics Math and Secondary Education Middle Grades Education Music Music Education: Choral Instrumental Music Performance Audio Technology Instrumental Jazz Studies Piano/Organ Piano Pedagogy Vocal Nursing Nursing RN-BSN Political Science Psychology Sociology Teacher Certification Track Non-Certification Track Spanish Teacher Certification Track Special Education General Curriculum Reading Concetration

Theatre Performance Track Design & Technology Theatre Education Undeclared

Undergraduate Minor Degree Programs

African-American Studies Anthropology Art History Applied Statistics Asian Studies Biology Chemistry Communication Computer Science Criminal Justice Early Childhood Education Economics English (Literature Track) English (Professional Writing Track) Exercise Science Foundations of Business French Geography Geology Health Science History Latin American Studies Linguistics Mathematics Music Mental Retardation Military Science & Advanced Leadership Philosophy Physics Political Science Psychology Sociology Spanish Theatre Arts Womens Studies

C. Transient:
(An applicant who is enrolled in another college or university may seek temporary admission to CSU.)

A. Freshman:
(A student with fewer than 30 semester hours or 45 quarter hours of transferable college credit)

K Students should request that a letter

K Students should request that an K Students whose high school

official high school transcript be sent by their appropriate school official to the CSU Enrollment Services Office. graduation date was fewer than 5 years ago should request official SAT or ACT scores to be sent to CSU. See the CSU academic catalog for minimum test score requirements. should request that an official transcript be sent directly to the CSU Enrollment Services Office from each college attended. Transferring freshmen must be eligible to return immediately to the last college attended. graduation date was five or more years ago and have earned fewer than 30 transferable semester hours of college credit are not required to take the SAT or ACT. These students, however, must take the University System of Georgia COMPASS Examination and complete Learning Support requirements if necessary. College Preparatory Curriculum admission requirements do not apply to these students. minimum combined score of 970 on the SAT (or ACT equivalent), a minimum cumulative GPA of 3.0 in academic subjects, written approval (dual enrollment) or written recommendation (early admission) from the appropriate high school official, and written consent of the parent or guardian (if the student is a minor).Early admission students must meet higher admission requirements. Please contact the Office of Admission for details.

be sent directly to the CSU Enrollment Services Office from the registrar of the institution in which the student is regularly enrolled, recommending admission to CSU as a transient student. (Transcripts of college work completed elsewhere are not required of transient students since they are not admitted to degree programs at CSU.)

D. Post-Baccalaureate/Second Undergraduate Degree:

K Freshmen who have attended college

K Students in this category must have

previously completed a bachelors degree and have a minimum cumulative GPA of 2.0 on a 4.0 scale or higher. awarded the degree must be sent directly to the CSU Enrollment Services Office.

K A transcript from the school which

K Students whose high school

E. Amendment 23:
(Georgia residents 62 years of age or older)

K Applicants for Amendment 23 who

meet all regular admission requirements may register for classes and receive credit without payment of tuition and fees on a space-available basis. All students must pay special lab fees if applicable. A copy of a valid GA drivers license must be submitted to the Enrollment Services Office.

Certificate Programs (1- Year)

Criminal Justice Data Processing

Special Certificate Programs (1-Year)

African Studies Artist Diploma European Union Studies Latin American Studies Teaching English to Speakers of Other Languages (TESOL)

F. International:
(A student whose country of citizenship is other than the United States) International students need to complete an international application found at http://admissions.columbusstate.edu/ international.

K Dual Enrollment students must have a

Associate Degree Programs (2- Year)

Criminal Justice Engineering Studies General Studies

All Applicants:
In accordance with Board of Regents Policy 4.3.4, all applicants who are accepted for admission or readmission to Columbus State University for Fall, 2011 or any academic semester thereafter, and who seek to be classified as in-state for tuition purposes, will be required to provide validation of residency and lawful presence in both the State of Georgia and the United States. Acceptance to Columbus State University is conditional until lawful presence is verified.

Pre-Professional Programs (2-Year)

Pre-Dentistry Pre-Engineering Pre-Engineering (RETP) Pre-Medicine Pre-Pharmacy Pre-Veterinary Medicine

B. Transfer:
(A student with 30 or more semester hours, or 45 quarter hours, of transferable college credit)

REV 4.12

FOR OFFICE USE ONLY Receipt No. ______________________ Date Recd ______________________

Undergraduate Admission

Application
Admission Office I Columbus State University 4225 University Avenue Columbus, GA 31907-5645 I (706) 507-8800
I

I Please print all information and check the appropriate boxes. I A one-time non-refundable $40 application fee is required.

APPLICANT INFORMATION
Social Security Number (Required of all applicants) ____________________________________________________________________________________________________________ Name ________________________________________________________________________________________________________________________________________________________ Last First Middle Jr., Etc.

Permanent Address ___________________________________________________________________________________________________________________________________________ Work Telephone(include Area Code) Home Telephone (include Area Code) Number and Street ______________________________________________________________________________________________________________________________________________________________ State Zip Country (if not U.S.) City Mailing Address ______________________________________________________________________________________________________________________________________________ K (or check if same as above) Number and Street Telephone (include Area Code) ______________________________________________________________________________________________________________________________________________________________ City State Zip Country (if not U.S.) Former/Maiden Name (if applicable)__________________________________________________________________________________________________________________________ Last First

Date of Birth
______________________________
(Month, Day, Year)

K Male K Female

Sex

K U.S. Citizen K Non-Resident Alien (International Student)

(If requesting an I-20, please complete an International Application. Otherwise, specify current Visa type) K Resident Alien (Permanent Resident) (if Resident Alien, attach form 1-551:Permanent Visa Card)

Citizenship Status

Native Language K English K Other ______________________

Specify

Are you Hispanic or Latino? K Yes K No K White K Asian K Black or African-American K American Indian or Alaskan Native K Native Hawaiian or other Pacific Islander

Ethnic Origin

County of Permanent Address __________________________________________________________ Country of Citizenship________________________________________________ Residency Status:

Are you applying for In-State Tuition? Are you a Legal Resident of Georgia?

K Yes, How long? _____ /_____

Years/Months

Yes

K No

K No, Resident of what state?__________________________________________________

______________________K Yes, How long? _____ /_____
County Years/Months

Are you a legal resident of Chambers, Lee or Russell County in Alabama?

K No

Have you or your parents filed a Georgia Income Tax Return as a resident of Georgia?

K Yes, Last year filed?____________________ K No K

Yes

Are you currently active duty military or a dependent of someone who is active military? Are you registered to vote in the State of Georgia? Do you hold a drivers license issued by the State of Georgia?

K Yes K No

K No

Home State of Record: ________________________

K Yes K No

Note: For fee assessment purposes, documentation to support the above statements may be required.

ACADEMIC INFORMATION
Year and semester you plan to attend: Entering status Fall 20_____ Spring 20_______

K Freshman K Transfer

K Transient K
eCore

K Audit

K Summer 20_______

K Reinstatement

K Returning

K Post Baccalaureate

K Dual Enrollment Program

Intended Major/Concentration Area __________________________________________________________________________________ Degree Objective______________________ Intended Minor (optional) ____________________________________________________________________________________________________________________________________ Are you seeking teaching certification?

K Yes

K No

If yes, in what field? __________________________________________________________________________

All previous educational experience (Include prior attendance at Columbus State University. Failure to list all institutions previously attended may result in academic exclusion or loss of transfer credit.) Institution Location City, State Attendance From/To Graduation Date Degree Obtained or hours completed

Last High School____________________________________________________________________________________________________________________________ Last College________________________________________________________________________________________________________________________________ College____________________________________________________________________________________________________________________________________ College____________________________________________________________________________________________________________________________________ College____________________________________________________________________________________________________________________________________ College____________________________________________________________________________________________________________________________________ College____________________________________________________________________________________________________________________________________

EMERGENCY INFORMATION
Name________________________________________________________________________________________________________________________________________________________ Last First Middle Jr., Sr., Etc. Telephone Number (please include area code)________________________________________________________________________________________________________________

ADDITIONAL INFORMATION
1. Have you ever applied to Columbus State University before? 2. Are you currently enrolled in the last institution attended?

K On suspension?

K Yes K No K In good standing? K On probation?

K Yes, for what semester and year?

________ Last name then____________________

K No

If yes, request that a final transcript be sent to the Enrollment Services Office, Columbus State University.

3. Have you ever been convicted of any criminal offense other than a traffic violation or do you have charges pending? 4. Have you ever been suspended or expelled for displinary reasons from a post secondary educational institution?

K Yes

K No

K Yes, explain on a separate sheet. K No

5. State briefly why you want to attend Columbus State University: _________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ 6. Place of birth ____________________________________________________________________________________________________________________________
City State Country (if not U.S.)

7. If you will need special services while on campus because of a disability, please contact our Office of Disability Services at (706) 568-2330. 8. If you are part of the military community, please answer the question(s) below that best fit your status: 9. Are you Active Duty Military? Are you a Reservist? Are you a Veteran?

K Yes K No

K Yes K No

K Yes K No

Or are you a dependent of someone who is Active Duty Military? Or are you a dependent of someone who is a Reservist? Or are you a dependent of someone who is a Veteran?

K Yes K No

K Yes K No

K Yes K No

CERTIFICATION
I agree to abide by Columbus State University regulations.

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.
Signature ______________________________________________________________________ Date ________________________