GSTC Dual Enrollment Application
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Admission to George Stone Technical College is contingent upon the approval of the GSTC Administration.  To be considered for admission, students must:
1.  Be a member of the junior or senior class
2.  Have a record of satisfactory attendance
3.  Have no serious, repeated disciplinary infractions
4.  Have maintained a 2.0 GPA and are on schedule to graduate
5.  Furnish his or her own transportation
Student's Name: *
Student's Address: *
Student's City/ST/Zip *
Student's email address: *
Student's Telephone Number: *
Student's Date of Birth: *
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Name of Parent of Guardian: *
Current High School: *
Indicate the times student is available to attend: (check all that apply) *
Required
1st Program of Choice: *
2nd Program of Choice: *
3rd Program of Choice: *
Affidavit
I hereby certify that the information on this application is accurate to the best of my knowledge.  By signing, I am giving my permission for the use of this data included herein in assessing my qualifications for entry into the GSTC Dual Enrollment Program.
Signature (Full Name): *
Date: *
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Are you 18 years of age or older? *
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