College of Coastal Readmission Application

Readmission Requirements

For information on readmission requirements, click here. If you are currently attending classes at College of Coastal Georgia, or have voluntarily broken enrollment for less than a calendar year, a readmission application is not required. Students who left under suspension or have broken enrollment for a year or longer must re-apply. Students who are currently attending and wish to change their major should fill out a Change of Major form with the Registrar's office

Application Deadlines

Applications and all supporting documents must be received by:

• May 15 for Summer entry

Incomplete applications will not be considered.

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Student Information:
Title:
* First Name:
Middle Name:
* Last Name:
* Student ID:
* Mailing Address:
* City:
* State:	Select State Not Available Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia 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 Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
* Zip:
* County:
* Phone Number:
* Email Address:
Race:	Race American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander, White
Are you Hispanic or Latino:	Hispanic or Latino? Yes No
Date of Birth::
* What semester are you applying for:	Semester Summer 2013 Fall 2013
* In what field of study are you interested?:	Select a Major Bachelor of Business Administration in General Business Bachelor of Science in Applied Mathematics Bachelor of Science in Biological Sciences, Coastal Ecology Bachelor of Science in Biological Sciences, Pre-Professional Bachelor of Science in Biological Sciences, Secondary Education Bachelor of Science in Education, Early Childhood and Special Education Bachelor of Science in Education, Middle Grades Bachelor of Science in General Mathematics Bachelor of Science in General Psychology Bachelor of Science in Health Informatics Bachelor of Science in Mathematics, Secondary Education Bachelor of Science in Nursing (Pre-Licensure) Bachelor of Science in Nursing (RN to BSN) Bachelor of Science in Psychology of Human Services Bachelor of Science in Psychology, Organizational and Community Leadership Associate of Applied Science in Hospitality Management Culinary Arts Associate of Applied Science in Hospitality Management Hotel Operations Associate of Arts, Baccalaureate Pre-Major, Art Associate of Arts, Baccalaureate Pre-Major, Communication Associate of Arts, Baccalaureate Pre-Major, English Associate of Arts, Baccalaureate Pre-Major, Modern Foreign Languages Associate of Arts, Baccalaureate Pre-Major, Philosophy Associate of Science, Baccalaureate Pre-Major, in Agribusiness Associate of Science, Baccalaureate Pre-Major, Agricultural Economics Associate of Science, Baccalaureate Pre-Major, Biology Associate of Science, Baccalaureate Pre-Major, Business Administration Associate of Science, Baccalaureate Pre-Major Chemistry Associate of Science in Clinical Laboratory Technology Associate of Science, Baccalaureate Pre-Major, Computer Information Systems Associate of Science, Baccalaureate Pre-Major, Computer Science Associate of Science, Baccalaureate Pre-Major, Criminal Justice Associate of Science, Baccalaureate Pre-Major, Dental Hygiene Associate of Science, Baccalaureate Pre-Major, Environmental Economics and Management Associate of Science, Baccalaureate Pre-Major, Fisheries and Aquaculture Associate of Science, Baccalaureate Pre-Major, Forest Environmental Resources Associate of Science, Baccalaureate Pre-Major, Forestry Associate of Science, Baccalaureate Pre-Major, General Studies Associate of Science, Baccalaureate Pre-Major, Geology Associate of Science, Baccalaureate Pre-Major, Health and Physical Education Associate of Science, Baccalaureate Pre-Major, History Associate of Science, Baccalaureate Pre-Major, Information Technology Associate of Science, Baccalaureate Pre-Major, Mathematics Associate of Science, Baccalaureate Pre-Major, Medical Records Administration Associate of Science, Baccalaureate Pre-Major, Medical Technology Associate of Science in Nursing (Career Associate) Associate of Science in Nursing (Pre-BSN) Associate of Science, Baccalaureate Pre-Major, Occupational Therapy Associate of Science, Baccalaureate Pre-Major, Physics Associate of Science, Baccalaureate Pre-Major, Political Science Associate of Science, Baccalaureate Pre-Major, Pre-Dentistry Associate of Science, Baccalaureate Pre-Major, Pre-Engineering Associate of Science, Baccalaureate Pre-Major, Pre-Medicine Associate of Science, Baccalaureate Pre-Major, Pre-Pharmacy Associate of Science, Baccalaureate Pre-Major, Pre-Physical Therapy Associate of Science, Baccalaureate Pre-Major, Pre-Physician Assistant Associate of Science, Baccalaureate Pre-Major, Pre-Veterinary Medicine Associate of Science, Baccalaureate Pre-Major, Psychology Associate of Science in Radiologic Science (Career Associate) Associate of Science in Radiologic Science Associate of Science, Baccalaureate Pre-Major, Recreation Associate of Science, Baccalaureate Pre-Major, Respiratory Therapy Associate of Science, Baccalaureate Pre-Major, Sociology Associate of Science, Science in Teacher Education, Middle Grades Associate of Science, Baccalaureate Pre-Major, Teacher Education, Secondary Education Associate of Science, Baccalaureate Pre-Major, Wildlife Non-Degree Seeking Undecided
Emergency Contact Information:
* Emergency Contact First Name:
* Emergency Contact Last Name:
* Emergency Contact Phone:
Additional Schools:
	Please list any schools you may have attended since your last enrollment at the College of Coastal Georgia
Prior Institution Name:
Prior Institution City:
Prior Institution State:	Select State Not Available Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia 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 Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Dates Attended From::
To::
Did you graduate?	Select Answer Yes No
If Yes, What Degree Did You Earn?
Additional Schools:
	Please list any schools you may have attended since your last enrollment at the College of Coastal Georgia
Prior Institution Name:
Prior Institution City:
Prior Institution State:	Select State Not Available Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia 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 Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Dates Attended From::
To::
Did you graduate?	Select Answer Yes No
If Yes, What Degree Did You Earn?
Residency:	O.C.G.A. 16-10-71 * I understand that any material false statement made knowingly and willingly by me on this application may result in a penalty in accordance with O.C.G.A. 16-10-71, which provides that upon conviction, a person who knowingly commits this offense shall be punished by a fine of not more than $1,000 or by imprisionment for not less than one year nor more than five years. Additionally, I further understand that any such false statements may subject me to immediate dismissal from the institution.
* Are You Applying For In-State Tuition?	Select Answer Yes No
	If you answered YES, have you (or your court appointed guardian if under 24 years of age) established and maintained domicile in Georgia for at least 12 consecutive months immediately preceding the first day of class? Domicile is your present, permanent home where you intend to stay indefinitely and to which you return following periods of temporary absence.
* Have You Maintained a Domicile in Georgia For At Least 12 Consecutive Months Immediately Preceding the First Day of Class?
	Select Answer Yes No
If You Are NOT Applying For In-State Tuition, What Is Your State of Domicile?
	Select State Not Available Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia 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 Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming