501 Varsity Rd.

Griffin, GA 30223
GRIFFIN TECHNICAL COLLEGE 770-228-7348 www.griffintech.edu
Complete and return with a non-refundable $15.00 application fee. Application fee good for one year.
Application will be returned if each item is not answered. If item is not applicable, mark N/A.

- -
Social Security # Last Name First Name Middle Initial

Previous Names (if any) Mailing Address (include apartment, box or lot number)

City State Zip County

( ) – Are you a legal resident of Georgia? If yes, how long have you resided in GA? yrs mos
Phone (You must have lived in GA at least 12 months.)

Are you a U.S. citizen? If not,* what is your country of lawful residence or citizenship?
(Griffin Tech is not authorized by INS for student visas/non-resident-alien. *Please present Permanent Residence Card for copying.)
If you are under 24 years of age, did one of your parents claim you on their most recent tax return? Yes No If you answered yes, what is the
state of legal residence of the parent who claimed you? How long have they lived continuously in that state?
If you are over 24, (or under 24 and neither of your parents claimed you on their tax return) what is your state of legal residence?
How long have you lived continuously in that state?
The following information is for statistical purposes only and is not used for determining admission.
Sex: Male Female Birthdate / / Ethnicity: Amer. Indian/Alaskan Native Asian Black Hispanic/Latino White Pacific Islander
Multi-racial If multi-racial, list two races
( ) ( )
Email Address Emergency Contact Person Phone Alternate Phone

Circle quarter you wish to enter: FALL WINTER SPRING SUMMER Year Circle session: DAY EVENING
Applying as: New Returning (date last attended ) Transfer Transient Special Admit
Dual Enrollment (high school only) Joint Enrollment (high school only)
Program Desired Seeking: Diploma Degree Certificate
See list of programs on reverse side of this form.
Specialization (if required):

GED Graduates complete this block Non-graduates / High School Students

High School Graduates complete this block: and block for Non-Graduates: complete this block:

Name of High School Name of Test Center

Name of High School Attended
■ in state ■ out of country ■ in state ■ out of country
■ out of state (non U.S. school) ■ out of state (non U.S. center)
/
Month/Year Graduated Highest Grade Completed
Type of Diploma:
■ College Prep ■ General Year Received
Must obtain
■ Tech Prep ■ Special Ed/Transition*
■ Certificate of Performance* High School Diploma or GED
Is this a home/correspondence school? YES NO before Griffin Tech graduation.
(*Must obtain GED) (Some certificate programs excluded.)
Official Transcript Required! Official Transcript Required!

Any Prior College(s)? YES NO Where? All Official Transcripts Required!

List any colleges currently attending:
Have you ever been convicted of a felony? YES NO (may affect licensure programs)

I certify that the above information is correct and that Signature: Date:
misrepresentation may result in invalidating my application.
How did you hear about us?
FOR OFFICE USE ONLY
Test Date: Cashier:
Transfer Credits:
/ /
TEST Reading Writing Math Algebra
Receipt #
LS Classes: RDG ENG MAT / /

STATUS: Regular Provisional Developmental Special Admit / / / / Date Received


Step 1 -Submit a completed application with a non-refundable $15.00 fee* to the Admissions Office. (*Former students may be exempt.)
Step 2 -Take the admissions test if you have not taken the ACT, COMPASS, SAT, CPE or ASSET within the last five years. Transferable col-
lege credit (English & Math) may take the place of admissions testing. Some programs have additional requirements.
Step 3 -Have official high school or GED and all college transcripts mailed in an official sealed school envelope to the Admissions Office.
Complete a Transfer Credit Evaluation Request Form if you have transferable college credit.
Step 4 -Visit the Financial Aid Office to see if you may be eligible for tuition assistance.
Financial aid is available in a variety of forms. The HOPE Grant is available to certificate and diploma students. The HOPE Scholarship may be available to
degree-seeking students. In addition, Pell Grants, VA benefits, and other forms of aid are available. The most important step in obtaining financial aid is apply-
ing early. Call 770-228-7368 for details.
Degree Programs
Accounting
Administrative Office Technology
Air Conditioning Technology
Applied Manufacturing
Automotive Technology
Business Management
Computer Information Systems
• Computer Programming Specialist
• Database Specialist
• Internet Specialist: Web Site Design
• Networking Specialist
• Web Applications and Services Development
Criminal Justice Technology
Culinary Arts
Drafting Technology
Early Childhood Care & Education
Electronics Technology
Environmental Horticulture
Forensic Science Technology
Health Information Technology
Industrial Systems Technology
Orthopedic Technology
Paralegal Studies
Paramedic Technology
Pharmacy Technology
Printing/Graphics Technology
Radiologic Technology
Respiratory Care Technology
Surgical Technology
Associate of Applied Science - Technical Studies
Diploma Programs
Accounting
Air Conditioning Technology
Applied Manufacturing
Automotive Collision Repair
Automotive Fundamentals
Business Management
Business Office Technology
Carpentry
Computer Information Systems
• Computer Programming Specialist
• Database Specialist
• Internet Specialist: Web Site Design
• Networking Specialist
• Web Applications and Services Development
Construction Management
Cosmetology
Criminal Justice Technology
Culinary Arts
Dental Assisting
Drafting Technology
Early Childhood Care & Education
Electrical Construction/Maintenance
Electronics Technology
Environmental Horticulture
Forensic Science Technology
Industrial Electrical Technology
Industrial Systems Technology
Machine Tool Technology
Medical Assisting
Orthopedic Technology
Paralegal Studies
Paramedic Technology
Pharmacy Technology
Practical Nursing
Printing/Graphics Technology
Surgical Technology
Welding & Joining Technology
Admissions Procedures
Financial Aid
Griffin Technical College does not discriminate in its educational programs, activities, or employment
policies on the basis of race, color, creed, national or ethnic origin, gender, marital status, religion,
disability, age, political affiliation or belief, disabled veteran, veteran of the Vietnam Era, or citizenship
status (except in those special circumstances permitted or mandated by law). For Title IX (Sex Equity),
and Section 504, contact Lynn Futral, Vice President for Student Affairs at (770) 228-7348 or Miriam
Byrd, ADA Coordinator/VP for Administrative Services at (770) 228-7371.
Griffin Technical College is accredited by the Commission on Colleges of the Southern
Association of Colleges and Schools, 1866 Southern Lane, Decatur, Georgia 30033-4097
(404-679-4501). Griffin Technical College is a Unit of the Technical College System of Georgia.
Tuition and Fees
Tuition is $36 per credit hour to a maximum of $513. Quarterly mandatory fees include:
student activity fee of $16, registration fee of $26, technology fee of $35 and an accident
insurance fee of $4. Some specialized programs have a different fee structure. There is a
$25 returned check fee. Fees are subject to change without notice.
Technical Certificates of Credit
A+ CompTIA Certification Engine Repair Technician
Advanced Air Conditioning Technology - Light Commercial Entrepreneurship
Advanced Air Conditioning Technology - Residential Systems Fire Fighter I
Advanced Architectural Drafting Specialist Fire Fighter II
Advanced Commercial Refrigeration Fundamentals of Mill Operations
Advanced General Machinist Garden Center Technician
Air Conditioning Technician Assistant Health Care Assistant
Architectural Drafting Specialist Health Care Science
Auto. Transmission/Transaxle Tech
Heating and Air Conditioning Installation Tech
Auto. Brake Technician Hemodialysis Patient Care Specialist
Auto. Climate Control Technician Human Resource Management Specialist
Auto Collision Major Repair Assistant Industrial Electrical Controls Tech
Auto Collision Painting and Refinishing Specialist Industrial Electrician
Auto. Suspension & Steering Tech Industrial Fluid Power Technician
Basic Automotive Service Industrial Maintenance Tech
Basic Dental Assisting Industrial Motor Control Technician
Basic Gas Tungsten Arc Welding Industrial Mechanical Technician
Basic Publication Design Industrial Welding Tech
Basic Shielded Metal Arc Welding Infant and Toddler Child Care Specialist
Basic Structural Steel Welding Installation & Support Technician
Business Office Specialist Introduction to Programmable Controls
Cabinetmaking Assistant Landscape Specialist
CAD Operator Lathe Fundamentals
Car Audio Installation Law Enforcement Specialist
Carpenter Assistant Lawn Equipment/Small Engine Repair
Carpentry Framing
Legal Office Assistant
Central Sterile Processing Technician Light Commercial Air Conditioning Specialization
Certified Construction Worker
Linux/Unix System Administrator
Certified Customer Service Specialist Management/Leadership Specialist
Certified Manufacturing Specialist
Manufacturing Team Supervisor
Certified Warehousing & Distribution Specialist Medical Billing Clerk
Chassis Technician
Medical Coding
CISCO Specialist (CCNA) Microsoft Office User Specialist
CNC CAD/CAM Programmer Microsoft Windows Specialist
CNC Specialist MIG Welding (Gas Metal Arc)
Commercial Truck Driving (Class A) Nail Technician
Commercial Straight Truck & Passenger Driver (Class B) Office Accounting Specialist
Computer Aided Drafting Specialist Ornamental Iron Fabrication
Computer Applications Specialist Patient Care Assisting - PCA
Computer Repair Technician Phlebotomy Technician
Computerized Accounting Specialist Polysomnography Technician
Cosmetic Esthetician
Programmable Control Tech 1
Culinary Services - Food Production Worker I
Culinary Services - Prep Cook Pro/E Design & Modeling
Quality Assurance Technician
Data Entry Clerk
Dental Infection Control Specialist Residential Plumbing
School Age and Youth Care
Direct Support Professional
Drafting Aide Service Sector Management Specialist
Early Childhood Program Administration Small Business Management Specialist
Electrical Technician Tax Preparation Specialist
Electrocardiography Technology Telecommunications Service and Electronics
Emergency Medical Technician Intermediate Video Production Assistant
Emergency Medical Technician (Basic) Web Site Design Associate