freshman admission, honors program, and president’s...

Apply online at

www.apply.gatech.eduStAndArd MAiling AddreSS:Georgia Institute of TechnologyOffice of Undergraduate AdmissionAtlanta, Georgia 30332-0320

Overnight expreSS AddreSS:Georgia Institute of TechnologyOffice of Undergraduate Admission219 Uncle Heinie WayAtlanta, Georgia 30332-0320

phOne: 404.894.4154fAx: 404.894.9511web Site: www.admission.gatech.edue-MAil: [email protected]

TimeTable for freSHmaN admiSSioN

AppliCAtiOn deAdlineS for Summer Semester 2009 and Fall Semester 2009

Freshman Admission & President’s Scholarship October 31 (Postmarked)

Freshman Admission Only(Fall or Summer) January 15* (Postmarked)

*Applications may be accepted after January 15 on a space-available basis.

For more information, seewww.admission.gatech.edu.

It is the applicant’s responsibility to ensure that all required elements of the application (Parts I, II, III, IV; SAT or ACT scores; and the nonrefundable $65 application fee) are submitted on time. All elements of the application must be submitted by November 1 (postmarked) to compete for the President’s Schol arship or by January 15 (postmarked) to guarantee consideration for admission to Georgia Tech.

Time Table forfreSHmaN admiSSioN

October 1 Early Notification

November 1President’s Scholarship application deadline

January 15Freshman admisssion application deadline

March 1Georgia Tech Application for Financial Aid and Scholarships and FAFSA deadline

May 1Admission and housing deposit deadline

For more information, seewww.admission.gatech.edu.

2010 aPPliCaTioNFreshman Admission, Honors Program, and President’s Scholarship

Apply online at

www.apply.gatech.eduStAndArd MAiling AddreSS:Georgia Institute of TechnologyOffice of Undergraduate AdmissionAtlanta, Georgia 30332-0320

Overnight expreSS AddreSS:Georgia Institute of TechnologyOffice of Undergraduate Admission219 Uncle Heinie WayAtlanta, Georgia 30332-0320

phOne: 404.894.4154fAx: 404.894.9511web Site: www.admission.gatech.edue-MAil: [email protected]

SAMPLE

All qualified persons are equally welcome to

seek admission to the Georgia Institute of

Technology, and all persons may apply for and

accept admission confident that the policy

and regular practice of the Institute will not

discriminate against them on the basis of race,

religion, sex, or national origin.

Online decisions will be available based upon

the deadline at which you apply for admission.

For more information, please visit

www.admission.gatech.edu/deadlines.

General admission Guidelines

In the review of applications, our Admission

Committee reviews four primary factors: high

school GPA/rigor of curriculum, standardized

test (SAT/ACT, including Writing), extra-curric-

ular involvement (Leadership/Activity record),

and your Admission Essay. For a thorough

explanation of these factors and additional

information on our process, please visit

www.admission.gatech.edu/freshman.

Interviews and recommendations are not

required for admission purposes. All informa-

tion must be included on the application; do

not include any additional materials such as

resumes, high school transcripts, or letters

of recommendation. Use the spaces wisely

to ensure that your most significant personal

accomplishments are described thoroughly.

You may want to wait until the end of

September to submit your application so

you can include some of your senior year

leadership activities.

The PresidenT’s scholarshiP ProGram

The President’s Scholarship, Georgia Tech’s

premier merit-based scholarship, is offered

each year to approximately one hundred

outstanding incoming freshmen who have

demonstrated the ability to lead and motivate

others, strong communication skills, and a

superior scholastic record. Please visit

www.psp.gatech.edu for more information.

The deadline for the President’s Scholarship

is November 1. However, SAT or ACT scores

from the November test will be considered if

Georgia Tech is designated as an immediate

recipient of the scores. Students selected as

semifinalists will be notified by December 15

and asked to submit teacher recommendations

and participate in interviews. Finalists will

be designated in early February. For more

information, contact the President’s Scholarship

Program by phone at 404.894.2691 or by

e-mail at [email protected].

The honors ProGram

The Honors Program selection committee

reviews the application for admission and

supporting credentials of the freshmen who

have been selected for admission to the Insti-

tute. They will consider all of the information

you include with your application and will pay

special attention to your activity and leadership

record and essays. Visit www.honorsprogram.

gatech.edu for more information.

NAME

In Part I under “Preferred First Name,” please

include any variations of your name that may

appear on standardized test results or other

official documents that you will submit as part

of the application process. This will expedite

the merging of your application materials.

e-mail address

In Part I, please list an e-mail address you plan

to maintain and check regularly throughout the

application and enrollment process. Georgia

Tech will use the address submitted as an

official means of communication to contact

you regarding important information.

choosinG a ProGram of sTudy

While some students double major, you will

only be able to select one major on your

application. Our Admissions Committee

does not use the major you indicate on our

application to make decisions. If you decide

to switch your intended major after submitting

your application, please notify our office, so we

may assist you.

sTandardized TesT resulTs

All applicants for admission must take the SAT

or the ACT (one section writing is required

for all students entering Tech). Applicants for

freshman admission to Georgia Tech who wish

to enroll in the fall of 2010 will be required to

submit the writing assessment portion of the

SAT or ACT. Tech will use the highest critical

reading/English and highest math score even

if they are from different tests or testing dates.

Decem ber scores will not be considered for the

Pres ident’s Scholar ship competition. January

test results may not meet the admission appli-

cation deadline. Official test scores must be

sent electronically directly to Georgia Tech from

the testing agency. We will not accept scores

submitted on transcripts or from personal score

reports. Georgia Tech’s school code number for

the SAT is 5248, and the code for the ACT is

0818.

self-rePorTed academic record and

official hiGh school TranscriPT

As a freshman applicant, you must complete

the Self-Reported Academic Record. Georgia

Tech uses the Self-Reported Academic Record

to make a preliminary review of your academic

performance in high school and to offer provi-

sional admission. It is very important that you

complete the Self-Reported Academic Record

accurately. To do so, refer to grade reports

and transcripts from your high school. Please

list all academic coursework you have taken,

including your senior year schedule of classes.

Admitted students will be asked to send a

FINAL, official high school transcript to verify all

self-reported grades and courses. Please note:

Any discrepancies may invalidate an offer of

admission.

applicaTioN for freSHmaN admiSSioN: iNformaTioN aNd iNSTrucTioNS

SAMPLE

hiGh school course requiremenTs for

ProsPecTive freshmen based on Their

Planned field of sTudy

ENGiNEEriNG, SCiENCES, ANd COMPuTiNG_________________________________Course ................................................. Units_________________________________

English ...................................................... 4

Algebra ...................................................... 2

Plane Geometry ......................................... 11Advanced Algebra .................................1/21Trigonometry .........................................1/2

Chemistry .................................................. 1

Laboratory Science ................................... 2

Foreign Language...................................... 2

Social Sciences ......................................... 3

MANAGEMENT_________________________________Course ................................................. Units_________________________________

English ...................................................... 4

Algebra ...................................................... 2

Geometry .................................................. 11Advanced Math ........................................ 1



Social Sciences ......................................... 3

ArChiTECTurE ANd LibErAL ArTS_________________________________Course ................................................. Units_________________________________

English ...................................................... 4

Algebra ...................................................... 2

Geometry .................................................. 11Advanced Algebra .................................1/21Trigonometry .........................................1/2



Social Sciences ......................................... 3

1. The title of the course is not important. All

students planning to declare architecture,

computing, engineering, liberal arts, or sciences

majors should have a sufficient background to

be able to schedule Intro ductory Calculus dur-

ing their first semester at Georgia Tech. At least

one-half year of trigonometry is essential.

Students planning to declare a manage ment

major will have the option of scheduling Intro-

ductory Calculus or Survey of Calculus.

siGnaTure

You must sign Parts I and IV of this applica-

tion. An admissions decision will not be made

without these signatures. After signing each

part, we suggest that you make a photocopy of

the entire application for your records.

aPPlicaTion fee

A nonrefundable $65 application fee is required,

unless you provide an approved Fee Waiver,

by the President’s Scholar ship deadline of

November 1 (postmarked) or the admissions

deadline of January 15 (postmarked). Applica-

tions received without the fee will not be proc-

es sed. Make a check or money order payable to

Georgia Institute of Tech nology. dO NOT SENd

CASh.

submiTTinG The aPPlicaTion by mail

Please mail your completed application (the

originals) and nonrefundable $65 application

fee in one stamped envelope addressed to

Georgia Institute of Technology, Office of Under-

grad uate Admission, Atlanta, Georgia 30332-

0320. Do not fax any part of the application.

Faxed applications will not be accepted. SAT

and/or ACT scores must be sent to Georgia

Tech directly from the testing agency. We will

not accept scores submitted on transcripts or

from personal score reports.

aPPlicaTion acknowledGemenT

Immediately after submitting your application,

you will receive an e-mail confirming submis-

sion. After ten business days, you will receive

an additional e-mail that allows you to verify

your personal information. Please check your

e-mail regularly, as we will communicate with

you officially by e-mail.

financial aid and scholarshiPs

To be considered for all types of financial

aid other than the President’s Scholar ship, a

student must complete and submit two forms:

the Georgia Tech Applica tion for Financial Aid

and Scholarships and the Free Application for

Federal Student Aid (FAFSA). The Georgia Tech

Application for Financial Aid and Scholar ships

will be available in early January of each year

and must be submitted to the Georgia Tech

Office of Scholarships and Financial Aid by

March 1. The FAFSA is available online

(www.fafsa.gov) or at any local high school

or college and is due to the federal processors

by March 1. Georgia Tech (#001569) should be

listed as a recipient. For more information, call

404.894.4160, e-mail [email protected], or

visit www.finaid.gatech.edu.

Guidelines for sTudenTs sTudyinG

ouTside The uniTed sTaTes

If you have been educated outside of the

United States at a school that is not accredited

by a U.S. agency, Georgia Tech requires all

international academic documents be formally

evaluated by an independent evaluation service.

This includes International Baccalaureate

programs that do not use a U.S. grading sys-

tem. Students must submit an official English

translation and a document-by-document with

GPA evaluation of their high school coursework.

The document-by-document with GPA evalua-

tion must be prepared by an accredited foreign

credential evaluation service that names and

describes all diplomas, certificates, degrees,

periods of education, or training and gives U.S.

equivalencies for each. We advise you to submit

official document to an independent evaluation

agency before december 1 in order to meet

the application deadline of January 15.

Any coursework from non-U.S. colleges and

universities will require a course-by-course

with GPA evaluation from a professional foreign

credential evaluator along with detailed course

descriptions.

For more information about international

transcripts, visit www.admiss.gatech.edu/

international.

Please read all instructions carefully. Failure to follow directions will result in processing delays.

SAMPLE

Financial Aid: Financial aid is not available for

international students. If you are an alien, non-

immigrant, a Georgia Tech Financial Statement

and Educational Experience form is required for

issuance of INS Form I-20. Download a copy

of the Financial Statement and Educational

Experience form from www.admission.

gatech.edu/international.

Visa/immigration documents: Proof of valid

immigration status (copy of U.S. permanent

residence card or current visa) or sufficient

financial documentation for U.S. student visa

must be submitted with a paper application

or mailed separately if applying online. See

www.admiss.gatech.edu/international for

more information.

Application fee: You must submit the $65 appli-

cation fee drawn on a U.S. bank or on a U.S.

dollar account. Applications received without

the fee will not be processed.

homeschooled sTudenTs (addiTional documenTs required for admission)

Georgia Tech has established specific

guidelines for homeschooled students to help

us more accurately evaluate academic back-

grounds. For a list of these specific guidelines,

visit www.admiss.gatech.edu/homeschool.

Transfer admission

If you are interested in applying to Georgia

Tech as a transfer student, you may access

more information and the transfer application

at www.transfer.gatech.edu.

applicaTioN for freSHmaN admiSSioN: iNformaTioN aNd iNSTrucTioNS (Continued)

SAMPLE

APPLiCATiON ChECkLiST

1. rEAd CArEFuLLy the Information and Instructions pages and

excerpts from the Academic Honor Code before filling out the

application.

2. SELECT ThE APPLiCATiON OPTiON that you would most

prefer. Instead of this paper option, you may apply electroni-

cally or you can download an Adobe Acrobat™ version of

the application that will allow you to fill in text boxes on your

computer before printing. You can find the other two options

online at WWW.APPLy.GATECh.Edu.

3. COMPLETE, SiGN, ANd PhOTOCOPy Parts I, II, III, and IV of

your application.

4. MAkE A ChECk Or MONEy OrdEr for $65 payable to

Georgia Institute of Technology. dO NOT SENd CASh.

This application fee is nonrefundable.

5. SubMiT yOur APPLiCATiON. Place your completed Parts I,

II, III, and IV (the originals) and nonrefundable $65 application

fee in one stamped envelope addressed to Georgia Institute

of Tech nol ogy, Office of Undergraduate Admission, Atlanta,

Georgia 30332-0320.

6. rEquEST yOur SAT ANd/Or ACT SCOrES be sent from the

testing agency directly to Georgia Tech for each time you have

taken either test. The Georgia Tech SAT school code number

is 5248, and the ACT school code number is 0818.

7. iF yOu ArE AN iNTErNATiONAL STudENT, you must

provide additional docu men tation as described at WWW.

AdMiSS.GATECh.Edu/iNTErNATiONAL. This includes

your third-party transcript evaluation and all financial

documentation.

8. iF yOu ArE A hOMESChOOLEd STudENT, you must provide

additional documentation to be eligible for admission. Visit

WWW.AdMiSS.GATECh.Edu/hOMESChOOL.

APPLiCATiON TiPS

•WE STrONGLy ENCOurAGE yOu TO APPLy by NOVEMbEr

1. While this is not early admission/early decision, complete

applications postmarked by that date will compete for the

President’s Scholarship as well as for freshman admission.

• WhencompletingtheLeadershipandActivityRecord,make

sure you cite what you did, as well as listing your official posi-

tions. Being elected president of an organization is important,

but we are more interested in your accomplishments in that

position.

• CarefullyprepareyourPersonalEssay,checkingitforproper

organization, spelling, punctuation, and neatness. Make

sure your Personal Essay is interesting and is on one of the

assigned topics.

• CarefullypreparePartIVoftheapplication,theSelf-Reported

Academic Record. Obtain an official transcript from your high

school so that you can use that information to fill out Part IV

thoroughly and completely.

do NoT faX aNY parT of THe

applicaTioN. faXed applicaTioNS

Will NoT be accepTed.

Please read all instructions carefully. Failure to follow directions will result in processing delays.

iMPOrTANT dATES

OCTObEr 1 Early notification

NOVEMbEr 1 President’s Scholarship application deadline

JANuAry 15 Freshman admission application deadline

MArCh 1 Georgia Tech Application for Financial Aid andScholarships and FAFSA deadline

MAy 1 Admission and housing deposit deadline

SAMPLE

GeorGia Tech academic honor code

(arTicle ii: secTions 1, 3)

Article ii: honor Code

Section 1. Statement of Purpose

The members of the Georgia Tech community believe that the fundamental

objective of the Institute is to provide students with a high-quality education

while developing in them a sense of ethics and social responsibility. We

believe that trust is an integral part of the learning process and that self-

discipline is necessary in this pursuit. We also believe that any instance of

dishonesty hurts the entire community. It is with this in mind that we have set

forth a Student Honor Code at Georgia Tech.

Section 3. Student responsibilities

Students are expected to act according to the highest ethical standards. The

immediate objective of an Honor Code is to prevent any student from gaining

an unfair advantage over any other student through academic misconduct.

The following clarification of academic misconduct is taken from Section XIX,

Student Conduct Code, of the Rules and Regulations section of the Georgia

Tech General Catalog : Academic misconduct is any act that does or could

improperly distort student grades or other student academic records. Such

acts include but need not be limited to the following:

• Possessing,using,orexchangingimproperlyacquiredwrittenorverbal

information in the preparation of any essay, laboratory report, examination,

or other assignment included in an academic course;

• Substitutionfor,orunauthorizedcollaborationwith,astudentinthecom-

mission of academic requirements;

• Submissionofmaterialthatiswhollyorsubstantiallyidenticaltothatcre-

ated or published by another person or persons, without adequate credit

notations indicating authorship (plagiarism);

• Falseclaimsofperformanceorworkthathasbeensubmittedby

the claimant;

• Alterationorinsertionofanyacademicgradeorratingsoastoobtain

unearned academic credit;

• Deliberatefalsificationofawrittenorverbalstatementoffacttoamember

of the faculty so as to obtain unearned academic credit; and

• Forgery,alteration,ormisuseofanyInstitutedocumentrelatingtothe

academic status of the student.

While these acts constitute assured instances of academic misconduct, other

acts of academic misconduct may be defined by the professor. Students

must sign the Honor Agreement affirming their commitment to uphold the

Honor Code before becoming a part of the Georgia Tech community. The

Honor Agreement may reappear on exams and other assignments to remind

students of their responsibilities under the

Georgia Tech Academic Honor Code.

The complete text of the Academic Honor Code may be found at

www.honor.gatech.edu.

ssn disclosure sTaTemenT

(admissions/sTudenT-relaTed acTiviTies)

Federal law recognizes the student Social Security Number (SSN) as personally

identifiable information under the Family Education Rights and Privacy Act of

1974 (FERPA). However, the law allows Georgia Tech to request and to use this

information in compliance with state and federal guidelines. While you are not

required to provide your SSN to be considered for admission to Georgia Tech,

you are strongly encouraged to do so, if you have one. Providing an SSN will

speed up matching of materials such as transcripts and test scores with

your application. An SSN is required if you are applying for financial aid, for

federal tax benefits, or for employment; it may be required for other purposes.

The information may be disclosed only under the following circumstances:

• Tootherinstitutionalofficials

• Torepresentativesofstateandlocaleducationalauthorities

• Inconnectionwithfinancialaid

• Forresearchpurposestoimproveinstruction

• Tocollectionagentsinconnectionwithuniversity-relatedbusiness

• Pursuanttoanorderfromacourtoflaw

• Othercircumstancesasrequiredbystateorfederallaw

Georgia Tech is committed to ensuring the privacy and confidentiality of

student records.

GeorGia Tech honor challenGe

“i commit to uphold the ideals of honor and integrity by refusing to betray the trust bestowed upon me as a member of the Georgia tech community.”

The above statement is the Georgia Tech Honor Challenge. It is a

commitment made by every student, faculty member, and administrator

in the Georgia Tech community. Every member of the community strives

to apply these principles toward academic pursuits and to every aspect

of our daily lives. We believe that honor and integrity are essential in

fostering an environment in which learning and research can thrive.

In an effort to remind the members of this community of their

commitment, the Honor Advisory Council has placed plaques displaying

the Challenge in nearly every classroom at Georgia Tech. During every

exam, quiz, and lecture, we hope they serve as a source of motivation to

uphold the promise you made when joining this community. The Honor

Advisory Council, a group of students dedicated to promoting the Honor

Code, serves as a resource for students accused of or wishing to report

an honor violation.

SAMPLE

PErSONAL1. Social Security Number ___ ___ ___ - ___ ___ - ___ ___ ___ ___

2. Full Legal Name ______________________________________________________________________________________________________________________________________________________________________________________ Last (surname or family name) First Middle Suffix

Georgia institute of Technology 2010 Application for FrEShMAN Admission Clearlytypeorprintwithink•Anonrefundable$65applicationfeeisrequiredIf you have previously been enrolled at Georgia Tech, this is the incorrect application. You need to apply for “readmission” through the Registrar’s Office.

PrOGrAM OF STudy1. Campus of Study

Atlanta

Savannah (Armstrong Atlantic State University Partnership)

2. Entering Status

Freshman

Early Admission (students bypassing high school senior year)

3. requested Enrollment date (Please check only one)

Summer Semester 2010

Fall Semester 2010

4. intended Major (Check only one major)

COLLEGE OF ArChiTECTurE

Pre-Architecture

Pre-Building Construction

Pre-Industrial Design

iVAN ALLEN COLLEGE OF LibErAL ArTS

Economics

Economics and International Affairs

Global Economics and Modern Languages

History, Technology, and Society

International Affairs

International Affairs & Modern Languages

Public Policy

Science, Technology, & Culture

Undecided Ivan Allen

COLLEGE OF ENGiNEEriNG

Aerospace Engineering

Biomedical Engineering

Chemical and Biomolecular Engineering

Civil Engineering

Computer Engineering

Electrical Engineering

Environmental Engineering

Industrial Engineering

Materials Science & Engineering

Mechanical Engineering

Nuclear & Radiological Engineering

Polymer & Fiber Engineering

Undecided Engineering

COLLEGE OF MANAGEMENT

Management

COLLEGE OF SCiENCES

Biochemistry

Biology

Chemistry

Earth & Atmospheric Sciences

Applied Mathematics

Discrete Mathematics

Applied Physics

Physics

Applied Psychology

Undecided Sciences

COLLEGE OF COMPuTiNG

Computer Science

iVAN ALLEN COLLEGE OF LibErAL ArTS &

COLLEGE OF COMPuTiNG

Computational Media

5. Would you like to receive information

regarding the Georgia Tech Savannah-

Armstrong Partnership Program (GT-S/AASu)?

Yes No

6. Are you interested in pursuing one or

more of these pre-professional programs?

Premedical Predental

Prelaw Preveterinary

Prepharmacy

PArT iFOR OFFICE USE ONLY.

GT ID# __ __ __— __ __ — __ __ __ __

Preferred First Name _______________________________________ ____________________________________________

Birth Name3. home Address:

Street __________________________________________________________________________________________________

City __________________________________________________________________________________________________

State ________ ZIP Code ___________________ - _____________

Country, if not USA _______________________________________________________________________________________

4. Mailing Address (if different from number 3):

Street __________________________________________________________________________________________________

City __________________________________________________________________________________________________

State ________ ZIP Code ___________________ - _____________

Country, if not USA __________________________________________________________________________________________

Last date of residence at this address: __________________________________________________________________________

5. Telephone Numbers

Home ___ ___ ___ - ___ ___ ___ - ___ ___ ___ ___ (Include Area Code First)

Cell ___ ___ ___ - ___ ___ ___ - ___ ___ ___ ___ (Include Area Code First)

6. E-mail Address _______________________________________________________________________________________________

7. birth date ___ / ___ / ___ Month Day Year

8. birth Place ______________________________________________________________________ 9. Gender Female Male 10. Ethnicity and race: (a) Are you Hispanic or Latino? Yes No (b) What is your Race (Optional) ________________________________________ Check all that apply American Indian or Alaska Native Black or African American Asian White Native Hawaiian or Other Pacific Islander (If you are accepted and enroll, this information will be required by federal/state agencies to evaluate civil rights compliance.)

11. Citizenship Status (Proper documentation must be sent to Georgia Tech) (a) U.S. Citizen (c) Alien, Permanent Resident of U.S. (b) Alien, Non-immigrant to U.S. If (b) or (c) above, your country of citizenship: _______________________________________ If (b) or (c), attach a copy of your Visa or the front and back of your Alien residence Card

and list your Visa type or Alien registration Number: ___________________________________

12. relatives associated with Georgia Tech degree Earned Mother ( ) ________________ Father ( ) ________________ Grandparent ( ) ________________ Sister ( ) ________________ Brother ( ) ________________

Place applicable letter in the space next to each relative:G = GT AlumA = Attended - Did not graduateS = Current StudentE = Employee

SAMPLE

ACAdEMiC bACkGrOuNd1. have you previously applied for admission to Georgia Tech? Yes No If yes, Accel/Freshman _______________ Term___________ Year__________

2. Are you graduating from: Public Private Homeschool/Virtual

3. Please provide your guidance counselor’s information:

First name: __________________________ Last name: __________________________ E-mail: ______________________________

Phone: __ __ __ - __ __ __ - __ __ __ __ Ext.: _________

4. have you attended more than one high school? Yes No

Name of Institution High School College/University City & State College board Code Dates Attended Graduation Date

__________________________________________ ________________ _______________ ________________ ________________ ______________

__________________________________________ ________________ _______________ ________________ ________________ ______________

__________________________________________ ________________ _______________ ________________ ________________ ______________

Information about institutions previously attended and official transcripts are required regardless of the applicant’s wishes concerning advanced standing. Failure to comply will disqualify the applicant.if you have completed high school and are not currently enrolled or attending a college or postsecondary institution, check here. ____________ Please describe in detail on a separate sheet of paper your activities since you completed high school.

5. (a) have you taken or plan to take the SAT? Yes No (b) have you taken or plan to take the ACT? Yes NoStandardized Test Performance: List every time you have taken or plan to take the SAT i or ACT. Please have official scores sent directly to Georgia Tech from the testing agency. Test (SAT/ACT) Date Taken/Taking Scores (Critical Reading/English, Math, Writing) Test (SAT/ACT) Date Taken/Taking Scores (Critical Reading/English, Math, Writing)

___________________ ______ / ______ _________ / ________ / ________ ________________ ______ / ______ _______ /________ /________

Test (SAT/ACT) Date Taken/Taking Scores (Critical Reading/English, Math, Writing) Test (SAT/ACT) Date Taken/Taking Scores (Critical Reading/English, Math, Writing)

___________________ ______ / ______ _________ / ________ / ________ ________________ ______ / ______ _______ /________ /________

NOTE: SAT and/or ACT scores from tests taken after November of the senior year will not be accepted for use in the President’s Scholarship competition. Tests taken after december of the senior year may not be accepted for use in the admissions decision. All entering students at Georgia Tech must submit either the SATW or ACTW. if you have not taken one of these sections please schedule a time to do so.

6. What is your native language? _____________________________

SAMPLE

rESidENCy iNFOrMATiON1. Are you a legal resident of Georgia for fee payment purposes? Yes No If no, go on to “Parental Information.” If yes, which Georgia county? _____________________________ If yes, the prospective student should answer the following questions or indicate “not applicable” (N/A).

2. (a) how long have you continuously resided in Georgia? _____ / _____ from _____ / _____ / _____ to _____ / _____ / _____ Years Months Month Day Year Month Day Year

(b) Have you or your parents filed a Georgia Income Tax return as a resident of Georgia? q Yes q No If yes, last year filed: ___________________

(c) Check either (1), (2), or (3): (1) I am under 18 years of age. (2) I am 18 years of age or over, have resided with my parent(s) during the preceding 12 months, and/or was counted as a federal tax dependent during the preceding tax year. (3) I am 18 years of age or over, have not resided with my parent(s) during the preceding 12 months, and/or was not counted as a federal tax dependent during the preceding tax year. (d) Are you registered to vote in the state of Georgia? Yes No

(e) Do you pay property tax in the state of Georgia? Yes No

(f) Is your automobile registered in the state of Georgia? Yes No

(g) Do you hold a driver’s license issued by the state of Georgia? Yes No

3. Student’s service in the Armed Forces: (a) Branch served ____________________ (b) Dates served: _____ / _____ / _____ to _____ / _____ / _____ Month Day Year Month Day Year

(c) Home of record (state from which you entered the military) ________________________________________________________________________________________________

PArENTAL iNFOrMATiON (Fill out completely)

NOTE: if you or your parents have lived in Georgia less than twelve months, or if one parent does not live in Georgia, he or she must submit 2009 Georgia tax returns.

PErSONAL iNFOrMATiON (This section must be completed or your application will not be processed.)The Georgia institute of Technology is committed to maintaining a safe environment for all members of our community. All applicants must answer these questions. Your application will not be processed without these responses. An affirmative answer to any of these questions does not automatically bar admission to the institution, but does require review. you are required to provide an explanation for each instance you answer yes. The statement will be used in the review process.

1. Have you ever been convicted of a crime other than a minor traffic violation? Yes No if yes, attach explanation.

2. Are there any criminal charges currently pending against you? Yes No if yes, attach explanation.

3. Have you entered a plea of guilty, a plea of no contest, a plea of nolo contendere, an Alford plea to a criminal charge, or a plea under a first offender act? Yes No if yes, attach explanation.

4. Do you currently have disciplinary or academic misconduct charges pending against you from a high school, college, or university? Yes No if yes, attach explanation.

5. Have you ever been disciplined, suspended, or expelled for conduct code violations from a high school or a postsecondary educational institution? Yes No if yes, attach explanation.

i grant permission for Georgia Tech to release information about my application/academic record to my high school for educational and research purposes. Yes No

i certify that the information provided on this application is true to the best of my knowledge, and i understand that any omission or misrepresentation of facts or failure to furnish information to the Office of undergraduate Admission will automatically invalidate consideration of this application and/or acceptance to the institute. i further understand that upon enrollment, i am expected to become familiar with and abide by the Academic honor Code and the Student rules and regulations as set forth in the Georgia Tech General Catalog.

Candidate’s Signature ___________________________________________________________________________________________________________________________________ date _____ / _____ / _____ Month Day Year

1. Father’s or legal guardian’s full name: ______________________________________________

(a) Is he living? Yes No If no, go on to “Number 2.”

(b) If legal guardian, when appointed by court? _______________________________________________

(c) Present address of father or legal guardian: ___________________________________________________________________________________________ Street

___________________________________________________________________________________________ City, State, Country, ZIP

___________________________________________________________________________________________ E-mail Address

(d) Employer of father or legal guardian: ___________________________________________________________________________________________ Company Name

___________________________________________________________________________________________ Street

___________________________________________________________________________________________ City, State, ZIP

from _____ / _____ / _____ to _____ / _____ / _____ Month Day Year Month Day Year

Title/Occupation __________________________ Daytime Phone Number _________________________

(e) Continuous residence in Georgia from _____ / _____ / _____ to _____ / _____ / _____ Month Day Year Month Day Year

(f) If father is U.S. military, Home of Record __________________________________________________

2. Mother’s or legal guardian’s full name: ____________________________________________

(a) Is she living? Yes No If no, go on to “Personal Information.”

(b) If legal guardian, when appointed by court? _______________________________________________

(c) Present address of mother or legal guardian: ___________________________________________________________________________________________ Street

___________________________________________________________________________________________ City, State, Country, ZIP

___________________________________________________________________________________________ E-mail Address

(d) Employer of mother or legal guardian: ___________________________________________________________________________________________ Company Name

___________________________________________________________________________________________ Street

___________________________________________________________________________________________ City, State, ZIP

from _____ / _____ / _____ to _____ / _____ / _____ Month Day Year Month Day Year

Title/Occupation __________________________ Daytime Phone Number _________________________

(e) Continuous residence in Georgia from _____ / _____ / _____ to _____ / _____ / _____ Month Day Year Month Day Year

(f) If mother is U.S. military, Home of Record _________________________________________________SAMPLE

E X A M P L E

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Georgia institute of Technology 2010 Application for FrEShMAN Admission

Activity or Award

Student government, societies, publications, fine arts, civic organizations, academic teams, JROTC, religious organiza-tions, band, etc.

Grade Level

9 10 11 12

Accomplishments: offices held, honors received

Please elaborate on your contribution.

Approximate number of students

in your senior class _____________

PArT iiLEAdErShiP ANd ACTiViTy rECOrdName ____________________________________________________________________________________________________________ SS# ___ ___ ___ - ___ ___ - ___ ___ ___ ___ Last First Middle

iNSTruCTiONS FOr COMPLETiNG ThE LEAdErShiP ANd ACTiViTy rECOrdRead through the form and determine the appropriate sections for listing your activities and accomplishments. List each item in only one section. Do not attach any additional sheets or résumés. Only informa-tion written on pages 9,10, and 11 will be read.

SChOOL ANd COMMuNiTy ACTiViTiES, AWArdS, ANd SPECiAL rECOGNiTiON1. List your top five activities in the order of their importance to you. Exclude activities related to sports and employment. dO NOT list in this section awards or honors resulting from strictly academic performance (e.g., honor roll, National Merit semifinalist, top GPA award), since academic performance is determined from the Self-Reported Academic Record and test scores.

2. List only one activity in each numbered section, explaining your personal accomplishments, leadership demonstrated, and positions held. Spell out names of organizations.

___________________________________________________________ __________________________________________________________________

__________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________

1.__________________________________________________________ __________________________________________________________________

__________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________

2.__________________________________________________________ __________________________________________________________________

__________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________

3.__________________________________________________________ __________________________________________________________________

__________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________

4.__________________________________________________________ __________________________________________________________________

__________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________

5.__________________________________________________________ __________________________________________________________________

__________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________

Environmental Activists C lub (EAC) 12: President of EAC. Initiated corporate fund drives for river project. 11: President of EAC. Initiated membership drive, increasing membership from initial group of three to twenty-five. Began river clean-up project. Presented State Environmental Award by governor. 10: Vice president of EAC ; one of three-person team making presentation to county school board to request charter and funding.

xxx

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AThLETiCSMark: V for varsity, JV for junior varsity, C for community, or i for intramural under each grade level as appropriate. SS# ___ ___ ___ - ___ ___ - ___ ___ ___

Sport Grade Level description 9 10 11 12 Positions of leadership, honors received, records set, etc.

Soccer C JV V V 12: Captain ; 11 : All-District Goalie ; 10 : Regional Champions; state semi-finalists_________________________________ _____ _____ _____ _____ __________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________________

1. _______________________________ _____ _____ _____ _____ __________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________________

2. _______________________________ _____ _____ _____ _____ __________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________________

3. _______________________________ _____ _____ _____ _____ __________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________________

4. _______________________________ _____ _____ _____ _____ __________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________________

WOrk/rESEArCh EXPEriENCE duriNG ThE MONThS yOu WErE iN SChOOLOnly list work or research that occurred during school months (usually September-May). NOTE: do not list research projects conducted as part of required high school coursework. List the portion of jobs continuing into summer months in the SUMMER section below.

Employer Explain duties, position, accomplishments, leadership roles, and recognition received Number of Months

hours per week (if applicable)

Joe’s Bike Shop Mechanic-in-training at Joe’s Bike Shop. Awarded apprentice of the month twice. 8 20Promoted to mechanic after only eight months.

Grade 9

Grade 10

Grade 11

Grade 12

WOrk/rESEArCh EXPEriENCE duriNG ThE SuMMErPlease describe your most significant activities (e.g., research, leadership enrichment, volunteer or academic programs, work) in each of the past three summers. Do not duplicate entries in other sections. Cite the length of time spent in each activity. Describe personal accomplishments, leadership roles, selectivity, and what benefits you received in each activity. You may include more than one significant activity per summer.

Employer Explain duties, position, accomplishments, leadership roles, and recognition received Number of Weeks

hours per week (if applicable)

Summer Prior to 12 Attended band and orchestra camp. Elected section leader. 4Mechanic - Joe’s Bike Shop. Granted bonus and promoted to group leader. 5 35

Summer Prior to 10

Summer Prior to 11

Summer Prior to 12

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SPECiAL CirCuMSTANCESIf you have experienced any special circumstances that may have affected your academic progress or opportunities to engage or excel in activities, please provide details to enable appropriate consideration.

__________________________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________________________

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SAMPLE

Georgia institute of Technology 2010 Application for FrEShMAN AdmissionPArT iiiPErSONAL ESSAy (required of all applicants)

Name ____________________________________________________________________________________________________________ SS# ___ ___ ___ - ___ ___ - ___ ___ ___ ___ Last First Middle

instructions

Georgia Tech is committed to building a community of students, faculty, and staff who demonstrate passion, creativity, and innovation. Our Admissions Committee asks that you write an essay not just to assess your writing skills but in hopes we’ll learn more about you as an individual. With that in mind, respond to ONE of the following prompts. Please stay on topic.

Select and respond to ONE of the following topics:

(1) Please expand on an aspect(s) of your academic or extra-curricular background that you feel is especially important to you and that will help us get to know you.

(2) Georgia Tech is proud to draw students from around the United States and countries throughout the world. This unique compilation of academic interests, personal backgrounds, and various life experiences creates an exciting and inspiring educational mix. Given your personal background, what would you hope to learn and contribute through becoming part of this sort of campus community?

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SELF-rEPOrTEd ACAdEMiC rECOrd: iNFOrMATiON ANd iNSTruCTiONS Please read all instructions carefully. Failure to follow instructions will result in processing delays.

SELF-rEPOrTEd ACAdEMiC rECOrd ANd OFFiCiAL hiGh SChOOL TrANSCriPTAs a freshman applicant, you must complete Part IV of the application, the Self-Reported Academic Record. Georgia Tech uses the Self-Reported Academic Record to make a preliminary review of your academic performance in high school and to offer provisional admission. It is very important that you complete the Self-Reported Academic Record accurately. To do so, refer to grade reports and transcripts from your high school. You must list all academic course-work and grades even if a course is repeated. If you are admitted, you must arrange to have an official, final high school transcript (showing your date of graduation) sent to Georgia Tech’s Office of Undergraduate Admission by July 1. We will use official FINAL high school transcripts to verify all grades. Please note: Any discrepancies may invalidate an offer of admission.

SChOOL NAMEFor each grade level, enter your school’s name and telephone number and check the appropriate boxes to identify the term system and grading system for that school. Next, enter the official course titles, honors status (if appropriate), and grades for every high school or college-level course completed during that school year or the summer prior to that school year.

ChANGiNG SChOOLSIf you changed schools between semesters, list both schools on the line provided in the order in which you attended. If you changed schools in the middle of a semester, only list the school granting your final grade for that semester.

TErM SySTEMUnder each grade level, check all the appropriate boxes to indicate the term system used at your school. If your school uses a calendar system other than the semester system (two terms per academic year), such as the trimester or quarter system, report all terms and grades earned on the Self-Reported Academic Record. If your school uses a block schedule, check “block” as well as any other types of terms, place a “(B)” after the course title, and copy your final grade for the year into the final grade box. If your school awards only a final grade at the end of the school year, copy that grade into the final grade box.

GrAdiNG SySTEMUnder each grade level, check the appropriate box to indicate the grading system used at your school. If your school uses a grading system other than alphabetical (A-B-C-D-F), consult your high school’s suggested conversion to the letter-grade system and list the converted grades on the Self-Reported Academic Record. List your grades exactly as they appear on your transcript.

hiGh SChOOL GrAdiNG SCALEUse your official high school transcript to complete the grading scale chart. List the numerical grade that corresponds with each letter grade. This chart must be completed for each grade level.

OFFiCiAL COurSE TiTLESUse only the official course titles as approved by your school and consistent with how it is listed on your transcript. Do not abbreviate course titles. If you have taken/are taking a course on a block schedule, place a “(B)” after the course title.

hONOrS STATuSIndicate any honors courses you have completed or plan to complete in grades 9-12 by filling in the honors course status box that follows the course title. Write (AP), (IB), (H), (G), (M), or (C) after the course name to indicate the type of honors. If you list a college course title, also note the name of the college. The Institute considers as honors courses only the following types of courses completed in grades 9-12. (List as honors courses only those courses specifically designated as such by your high school.)

AP Advanced Placement courses

ib International Baccalaureate Higher Level courses

h Honors courses certified by your high school

G Gifted courses certified by your high school

C College/university courses taken while you are enrolled in high school

M Magnet courses

TWELFTh GrAdE COurSESit is mandatory that you complete the Twelfth Grade column. Failure to complete this column will result in processing delays. Enter the titles of the courses you either are taking or plan to take during your high school senior year. If you have completed any courses, write the grades in the appropriate block. If you are still completing a course or plan to take it prior to graduation, place an “X” in the appropriate block to indicate when you will take the course.

ChANGES iN yOur ACAdEMiC rECOrdIf your academic record changes after you submit your application, you must notify the Office of Undergraduate Admission in writing.

international and home-schooled students are required to provide additional information and documentation to validate learning in core subjects. Visit

www.admiss.gatech.edu/ international or www.admiss.gatech.edu/homeschool.

important: If we are unable to evaluate your academic record based on the information in the Self-Reported Academic Record, we may contact you or your school(s) for a copy of your tran-script. Note that your transcript should not be sent at the time of application, unless otherwise requested.

School: _____________________________________School Phone No.: (______) ____________________Term: Sem. Tri. Qtr. Block OtherGrading: A-F q Other _____________________high School Grading Scale: A_______ B _______C _______ D _______

Course TitleHonorsStatus

1stSem./

Quarter

2ndSem./

Quarter

3rd Qtr./Final Grade

9th GrAdE

Grade Earned

ACAdEMiC COurSE rEquirEMENTS

ENGLiShComposition, Literature (American, English, World, etc.)

Brookside High School

English L iterature 9 (B)

770 555 - 5555

100-90

H 90

89-8079-70 69-65

x xx

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School: _____________________________________School Phone No.: (______) ____________________Term: q Sem. q Tri. q Qtr. q Block q OtherGrading: q A-F q Other _____________________high School Grading Scale: A_______ B _______C _______ D _______

Course Title


Course Title

ENGLiShComposition, Literature (American, English, World, etc.)

MAThEMATiCSAlgebra, Geometry, Advanced Algebra, Trigonometry, Pre-Calculus, Integrated Math, Calculus, Statistics (DO NOT include arithmetic and Pre-Algebra.)

LAbOrATOry SCiENCEBiology, Chemistry, Physics, Integrated Science with Lab, Marine Biology, Physiology, Anatomy, etc.

FOrEiGN (NON-ENGLiSh) LANGuAGEFrench, German, Spanish, Latin, etc.

SOCiAL SCiENCE/ hiSTOryU.S. History, Civics, American Gov-ernment, World History, European History, Economics

OThEr ACAdEMiC COurSESList only “academic” courses such as anthropology, psychology, computer science, etc. (DO NOT list courses such as PE, Typing, Driver’s Education, Health, etc.)

ACAdEMiC COurSE rEquirEMENTS

9th GrAdE 10th GrAdE

SELF-rEPOrTEd ACAdEMiC rECOrd GEORGIA INSTITUTE OF TECHNOLOGY • 2010 • DO NOT ATTACH YOUR TRANSCRIPTPArT iV

Name ____________________________________________________________________________________________________________ SS# ___ ___ ___ - ___ ___ - ___ ___ ___ ___ Last First Middle

instructions Before you complete this section, carefully read the instructions on page 13. Refer to your high school transcript and/or grade reports for official course titles. Do not abbreviate course titles. You must list all coursework and grades even if a course is repeated. If you are unsure which heading a course should be listed under, or you run out of room under a heading, include the course in the “Other” category. This section must be filled out completely for your application to be processed.

HonorsStatus

HonorsStatus

1stSem./

Quarter

1stSem./

Quarter

2ndSem./

Quarter

2ndSem./

Quarter



Grade Earned Grade Earned

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Copyright 2009 • Georgia Institute of Technology • Communications & Marketing • B10C2076 • An equal education and employment opportunity institutionPAGE 16


Course Title


Course TitleHonorsStatus

HonorsStatus

1stSem./

Quarter

2ndSem./

Quarter

2ndSem./

Quarter


Grade Earned Grade Earned

GrAdE 7 and 8 MAThEMATiCS COurSEWOrk: Enter the number of units of algebra, geometry, or more advanced mathematics you completed during grade 7 and/or 8 with a grade of C or better. Do not include arithmetic or pre-algebra. Two semesters count as one unit.

Specify the courses: ________________________________________________________Grade: __________________________________________________________________

ENGLiShTotal number of unitslisted.

MAThEMATiCSTotal number of unitslisted.

LAbOrATOrySCiENCESTotal number of unitslisted.

FOrEiGNLANGuAGESTotal number of units listed (other than English).

SOCiAL SCiENCE/hiSTOryTotal number of unitslisted.

OThEr ACAdEMiCCOurSESTotal number of unitslisted.

GrAdES 9 - 12uNiT TOTALS

Enter the total number of units listed. Two semesters or one school year of coursework

counts as one unit.

12th GrAdE11th GrAdE

GrAdE 7 and 8 LANGuAGE OThEr ThAN ENGLiSh COurSEWOrk: Enter the number of units of language other than English (such as French, Spanish, etc.) you completed during grade 7 and/or 8 with a grade of C or better. List courses equivalent to courses offered by your high school. Two semesters count as one unit.

Specify the courses: ________________________________________________________Grade: __________________________________________________________________

NuMbEr

NuMbEr

Consistent with the Georgia Tech Academic honor Code, i certify that Parts ii, iii, and iV are true and accurate portrayals of my academic record.

Name (please print) ________________________________________________________________________

Candidate’s Signature ______________________________________________________________________

Social Security Number ___ ___ ___ - ___ ___ - ___ ___ ___ ___

1stSem./

Quarter


Did you take a course(s) prior to the 9th grade that will reflect on your high school transcript?

q Yes q No

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freshman admission, honors program, and president’s...

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