Motlow Adult College Express (ACE) Program Application Please

Motlow Adult College Express (ACE) Program Application
Name
Student I D Number # A
Address
City
S
t
a
t
e
Z
Home Phone
Cell Phone
Wo r k Phone
Email
THIS APPLICATION IS FOR ADMISSION IN (YEAR)
FALL
S
P
R
I
N
F
O
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p
R
THE TERM CHECKED:
G
SUMMER
Please attach a typed essay detailing why you should be selected to participate in
this accelerated degree program.
*An interview may be required
Return application to the appropriate campus:
Motlow State Community College, 6015 Ledford Mill Road, Dept. 215, Tullahoma, TN 37388
Phone: 931-393-1810 F a x : 931-393-1814
Motlow State Community College McMinnville Center, 225 Cadillac Lane, McMinnville, TN 37110
Phone: 931-668-7010 F a x : 931-668-2172
Motlow State Community College Smyrna Center, 5002 Motlow College Boulevard, Smyrna, TN 37167
Phone: 615-220-7800 F a x : 6915-220-7840
Motlow State Community College Fayetteville Center, 1802 Winchester Highway, Fayetteville, TN 37334
Phone: 931-438-0028 F a x : 931-433-9340
Motlow State Community College is accredited by the Commission on Colleges of the Southern Association of Colleges and Schools to award the Level I associate degree.
Contact the Commission on Colleges at 1866 Southern Lane, Decatur, Georgia 3033-4097, telephone 404-679-4500, Web site: www.sacscoc.org, for questions about the
accreditation of Motlow State Community College.
Motlow State Community College is an equal opportunity institution and welcomes applications for employment or admission regardless of age, disability, national origin,
race, religion, sex, or veteran status, and is committed to education of a non-racially identifiable student body. For assistance or information concerning compliance with the
Americans with Disabilities Act of 1990, contact the Office of Human Resources for employment assistance; contact the Office of Student Affairs for student assistance.
Printed by Horton Printing, 515 West College Street, Fayetteville, TN 37334. Publication No. 60-030601-0208 500 copies