University of South Carolina Aiken
Office of Admissions
471 University Parkway
Aiken, South Carolina 29801
Please complete this application and return it to the Office of Admissions. A non-refundable $10 application fee is required.
Social Security #: Term you wish to enroll: Fall 20 Spring 20
Name (print):
(Legal Last Name) (Legal First Name) (Middle) (Suffix Jr., II, III, etc.)
Address:
City: State: ZIP:
County: Student e-mail address:
Home phone:
(area code)
Student cell phone:
(area code)
Date of birth:
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Male
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Female
Parent name(s):
Parent e-mail:
Are you a U.S. citizen?
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Yes
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No
If no, what is your country of citizenship?:
If no, what is your immigration status in the U.S.?:
Parent phone:
If no, are you a legal immigrant (permanent resident alien) of the U.S.?
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Yes
□
No
(Note: for citizenship verification, you must submit a copy of your South Carolina drivers license, birth certificate, or passport.)
Name of High School: Expected Year of HS Graduation: 20
Are you interested in Dual or Concurrent Enrollment? Dual Concurrent
Have you been named a USCA Scholar?
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Yes
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No
Which standardized test(s) have you taken?
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SAT
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PSAT
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ACT
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PLAN
USC Aiken is required to collect information on the ethnic and racial composition of its student body and report this information to the
U.S. Department of Education. Admissions decisions are not affected by ethnic background.
Do you consider yourself to be either Hispanic, Latino or of Spanish origin?
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Yes
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No
Please select one or more of the following groups with which you identify:
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American Indian or Alaska native
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Asian
□
□
Black
Native Hawaiian or Pacific Islander
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White

Students should select courses based on consultation with USC Aiken and/or high school counselor
List course number – Example ATHE 161 or AFYS 101
FALL 20_
FIRST CHOICES
1
2
ALTERNATE CHOICES
1
2
SPRING 20
FIRST CHOICES
1
2
ALTERNATE CHOICES
1
2
Read this statement ca r efully and sign you r name.
I am requesting permission to pursue Concurrent Enrollment at the University of South Carolina Aiken. I am not seeking admission as a degree candidate. I understand that I must be admitted as a regular, degree- seeking student before this credit may be applied toward a USCA degree. I accept the condition that I am subject to all standard University academic regulations as stated in the University Bulletin.
I have truthfully disclosed my citizenship status and understand that any omission or misrepresentation may cause dismissal from the University in keeping with South Carolina immigration law.
I certify that all the information provided here is accurate, complete, and without omission; and I understand that any falsification is cause for immediate cancellation of my registration. I understand that all credentials become the property of USCA and are nonreturnable.
Signature Date
As the parent/guardian of , I approve of my child enrolling in a course(s) at the University of South Carolina Aiken. I understand that the course(s) are college-level material in which textbooks, assignments and discussions may include adult and sometimes controversial subjects. Further, I understand that my child will be required to meet all of the study requirements as called for on the course syllabus and am aware that I need to familiarize myself with the program of study and the expectations to be fulfilled in order to insure my child's success at USC Aiken.
Signature
Date E-mail address
Relationship
I certify that has the appropriate standardized test scores (SAT/
PSAT/ACT/PLAN), and either class rank (top 25%) or grade point average (3.5+ UGS) and is eligible to concurrently enroll for a semester at the University of South Carolina Aiken for university-level classes and has permission to enroll as indicated. I have provided USCA with an official transcript for this student.
High School Counselor/Principal (Print Name)
Signature Date
The following documents must also be received by the Office of Admissions before acceptance is considered:
1) A completed/signed application for admission
2) $10 application fee
3) Official high school transcript
4) Official standardized test scores (scores on official high school transcripts are considered official)
5) College transcript(s) (if applicable)
6) Signed clearance from designated high school official authorizing your participation
7) Signed clearance from parent on "permission statement"
8) Placement scores may be required for enrollment in some courses
South Carolina Illegal Immigration Reform Act: Each student admitted to USC Aiken will have his/her citizenship and/or immigration status checked with the federal government to ensure (s)he is lawfully present in the United States. Those found to be in the U.S. un- lawfully will not be allowed to attend the institution.
The University of South Carolina Aiken does not discriminate in educational or employment opportunities or decisions for qualified persons on the basis of race, color, religion, sex, national origin, age, disability, sexual orientation, or veteran status. This policy extends to all programs and activities supported by the University. The University of South Carolina Aiken is accredited by the Commission on Colleges of the Southern Association of Colleges and Schools to award baccalaureate and masters degrees. 7/09