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 i 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
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