THE
UNIVERSITY OF
AP P L I CAT I O N
G E O R G IA
I
PART
F O R F I R S T -YEAR AD M I S S I O N
PLEASE NOTE: The PDF applications are for review purposes only. Official applications must be submitted online.
Date Of Birth
/
MONTH
/
DAY
YEAR
Full Name
LAST
FIRST
Name Called
MIDDLE
S U F F I X ( JR., III, E T C.)
Other last name on record
1. Admission Categories and Address Information
Enter the semester (Spring, Summer, Fall) and year in which you intend to begin your enrollment at the University of Georgia.
Example: Fall 2014
Student Type ( Available for First-Year Applicants, Summer and Fall semesters only; check one. )
First-Year Applicant ( Freshman )
Move on When Ready
Admission type ( Read Definitions on previous page and check as applicable. )
Early Action
Regular Decision
Move on When Ready
Mailing address to which all admission correspondence should be mailed
Street Line 1
Street Line 2
Street Line 3
Street Line 4
CITY
STATE / PROVINCE
ZIP / POSTAL CODE
COUNTRY
Mailing Phone
AREA CODE
TELEPHONE NUMBER
Cell Phone
Text Phone
AREA CODE
Would you like to receive SMS text messages from UGA regarding your application
status and/or important deadlines?
Yes
TELEPHONE NUMBER
No
Email address to which all e-correspondence should be sent
Parent/Guardian 1 Email
Parent/Guardian 2 Email
Note: Because we will use e-mail as our primary means of contacting you throughout the process, please provide us with an e-mail address which you check regularly
and update us immediately should this address change.
You must apply online at www.admissions.uga.edu
I-1
I
Full Name
PART
LAST
Date Of Birth
/
FIRST
/
Permanent mailing address, if different from the current mailing address
Street Line 1
Street Line 2
Street Line 3
Street Line 4
CITY
STATE / PROVINCE
ZIP / POSTAL CODE
COUNTRY
Telephone number associated with permanent address
AREA CODE
TELEPHONE NUMBER
2. Optional Biographic Information
Colleges and universities are asked by many entities to describe the racial / ethnic backgrounds of our students and employees. In order to
respond to these requests, we ask you to please answer the following to optional questions.
Do you consider yourself to be Hispanic or Latino/a?
Yes
No
Regardless of your answer above, please select one or more of the following racial categories to describe yourself:
✘ White (including Middle Eastern)
American Indian or Alaska Native
Black or African American (including Africa and Caribbean)
Native Hawaiian or Other Pacific Islander
Gender
Male
Female
Native Language
English
Spanish
Asian (including the Indian subcontinent)
Other
I-2
PART
I
Full Name
LAST
Date Of Birth
/
MONTH
( Required for international students who need a Form I-20 )
FIRST
/
DAY
YEAR
Birthplace
CITY / COUNTY / PARISH
( Required for international students who need a Form I-20 )
STATE / PROVINCE
Parent/Guardian 1 name
COUNTRY
Parent/Guardian 2 name
LAST, FIRST, MIDDLE, SUFFIX ( JR., III, ETC. )
LAST, FIRST, MIDDLE, SUFFIX ( JR., III, ETC. )
Birthplace
Birthplace
Highest level of education ( Check one. )
Highest level of education ( Check one. )
Less than high school diploma
Less than high school diploma
High school diploma
Some college
High school diploma
Some college
Technical school certificate
Associate's degree
Technical school certificate
Associate's degree
Baccalaureate degree
Master's degree
Baccalaureate degree
Master's degree
Doctoral/Professional degree
Unknown
Doctoral/Professional degree
Unknown
Occupation
Occupation
Employer
Is parent/guardian 1 a UGA employee?
Employer
Yes
No
Is parent/guardian 2 a UGA employee?
If deceased, year of death
With whom do you currently reside?
Yes
No
If deceased, year of death
Parent 1
Parent 2
Both
Other (Please explain below)
In what city & state?
CITY / COUNTY / PARISH
Do you live in a single-parent home?
Yes
STATE / PROVINCE
No
Total number in household
Primary language spoken at home
I-3
PART
I
Full Name
LAST
Date Of Birth
/
MONTH
FIRST
/
DAY
YEAR
Extraordinary family obligations
Required to work to supplement family income?
Please describe
Yes
No
Serve as primary caregiver for family member(s)?
Yes
No
Special Circumstances
If you have experienced any special circumstances, please provide details to enable appropriate consideration.
Indicate any immediate family members who have attended or are currently attending UGA.
Father
Mother
Sibling
List any members of your immediate family (only include parents, stepparents or siblings) who have attended or are currently attending UGA
Name
Relationship
Class Of
Name
Relationship
Class Of
Name
Relationship
Class Of
I-4
PART
I
Full Name
LAST
Date Of Birth
FIRST
/
MONTH
/
DAY
YEAR
3. Required Biographic Information
Citizenship ( Check one. )
United States
Other
(Specify country of citizenship)
Permanent Resident ( Include a copy of Alien Registration Card to be used for residency and tuition purposes. )
If applicable, how many years have you lived in the United States?
If you currently reside in the U.S. but are not a U.S. citizen or Permanent Resident, what kind of visa do you hold?
Student (F-1/F-2)
Exchange (J-1)
Tourist (B-2)
Refugee
Other (Specify)
If you require a Form I-20 Certificate of Eligibility in order to obtain a student (F-1) visa to study in the United States legally, you must complete
the UGA Certificate of Finances form available on our Web site at www.admissions.uga.edu and submit it with the appropriate documentation
with your application for admission.
Residency In general, in-state residency for tuition purposes in the University System of Georgia requires full-time domicile and legal residency
in the state of Georgia for at least the twelve (12) consecutive months prior to your first enrollment. We will review all responses to assure that
students meet the residency policies set by the Board of Regents for the University System of Georgia. For a complete description of residency
regulations, visit http://www.usg.edu/student_affairs/faq/residency/
Yes
Do you claim to be a legal resident of Georgia for in-state tuition purposes?
If "No," in which state / country do you reside?
No
(You may continue to Section 4)
If "Yes," in which Georgia county do you reside?
How long have you continuously resided in Georgia?
/
YEARS
MONTHS
Has the claiming individual (your parents/legal guardians if you are their dependent, or you if you claim to be independent, or your
parents/legal guardians if you are a dependent), filed a Georgia Income Tax return claiming Georgia Residency in the past year?
Yes
No
If "No," what is your legal state of residency?
Are you currently active duty military or a family member of someone who is active duty military?
Yes
No
If yes, what branch of the military?
4. Intended Major
Using the list provided in this packet (page iv), identify the course of study you wish to pursue at the University of Georgia. Enter the
appropriate school or college, intended major, and major code below. If applicable, please list your intended pre-professional program as well.
School / College
First Intended Major
Reason for choosing major
Second Intended Major
Reason for choosing major
Intended pre-professional program
Code
5. Prior Educational Experience
Graduating High School
ETS High School
code (If known)
Complete High School Name
City, State
Graduation
Month/Year
I-5
PART
I
Full Name
LAST
Date Of Birth
/
MONTH
Additional High Schools attended
Complete High School Name
FIRST
/
DAY
YEAR
From (mo / yr) first
attendance
Reason for changing schools
To (mo / yr); last
attendance
Highest Math class completed:
College(s) attended
FICE college code
(If known)
Complete College Name
City, State
From (mo / yr) first
attendance
To (mo / yr); expected
last attendance
Degree earned, year
Senior Coursework
Please list the courses you will complete this year, both current and upcoming high school and/or college classes, and the academic level of
the coursework (i.e., Honors, AP). Then list the course credit length , type of schedule (i.e., semester, quarter, block), and term in which the
courses are to be taken. Failure to complete this information will delay the processing and review of your application. Abbreviations are okay
(i.e., Fall - F, Spring - S).
Name of course / level
ex. Government Honors
Credit / term(s)
Name of course / level
half-year credit/fall semester
Credit / term(s)
Calculus A.P.
full-year credit/spring block
To be considered for first-year admission to the University of Georgia, high school students must have completed at a minimum the
following 16 units, as prescribed by the Board of Regents of the University System of Georgia: 4 years of English 4 years of Math
(including Algebra 1 and 2, geometry, and a fourth year beyond these three such as Adv. Alg. and Trig., Alg. 3, pre-calculus, etc.), 4 years of
science with at least one life sciences lab course and one physical sciences lab course, 3 years of social science, and 2 years of the same
foreign language. By the time of your high school graduation, will you have completed these required courses?
Yes
No
In what foreign language have you completed 2 or more classes for high school credit (if you have completed 2 or more years in
multiple languages, please select the one you will have progressed the furthest in by graduation)?
Arabic
Chinese
French
German
Hebrew
Portuguese
Russian
Spanish
Other
Not Taken
6. Standardized Testing History
Italian
Japanese
Greek
Latin
In the following chart, please list the date and corresponding results, if available, for any SAT I and/or ACT, SAT II, Advanced Placement (AP)
and/or International Baccalaureate (IB), or TOEFL examinations which you have taken or for which you are registered. Note: Scores reported
here are unofficial and will be used only for informational purposes. With the exception of TOEFL, official test scores must be submitted to UGA
electronically by the respective testing agency.
English (ACT)
Test
ex. ACT
Date
6/10/07
Composite / Total
28
Critical Reading (SAT)
28
Math
30
Writing
26
I-6
PART
I
Full Name
LAST
Date Of Birth
/
MONTH
FIRST
/
DAY
YEAR
7. Additional Required Information:
You must answer all four questions.
Failure to answer these four questions properly will result in a delay in processing your application.
Yes
A) Have you previously applied for admission to UGA?
If "Yes," for what term and year?
/
TERM
Your last name then
YEAR
B) Have you ever enrolled in UGA courses for credit, including independent study?
If "Yes," for what term and year?
/
TERM
No
Yes
No
Your last name then
YEAR
If your answer to either of the following is yes, you must submit a full statement of relevant facts on a separate sheet to be attached to this form.
C) Are you currently, or have you ever been, charged with, or subject to, disciplinary action including suspension or expulsion for
scholastic or any other type of misconduct at any high school, college, or university? You need not respond “yes” for infractions
involving attendance or dress code violations.
Yes
No
D) Have you ever been charged with, convicted of, or pled guilty or nolo contendere to a crime other than a minor traffic offense, or
are any criminal charges now pending against you?
Yes
No
Convictions shall include: A finding of guilty by a judge or jury, a plea of guilty, or a plea of nolo contendere, a plea of no contest, an Alford Plea
to a criminal charge, or a plea under a first offender act, irrespective of the pendency or availability of any appeal or application for collateral
relief. If "Yes," explain fully, specifying the nature of the offense(s), the date(s) it/they occurred, the name and location of the court(s), and
sentence(s) imposed. Please have the appropriate authority submit official court documentation directly to UGA’s Office of Admissions.
I-7
PART
I
Full Name
LAST
Date Of Birth
FIRST
/
MONTH
/
DAY
YEAR
9. Leadership and Activity Record
Before completing this section, please identify the most appropriate subsection in which to place each of your activities, experiences or awards.
List each item only once. Confine all information on your co-curricular activities and awards to the space provided. Only that which you include
on your application form will be included in your admissions file. Please write legibly.
School and Community Activities
List your top five activities by their order of importance to you, with the most important activity first. For each one, explain what you did in the
activity. Describe the activity, your function, accomplishments, position held, and leadership demonstrated. Volunteer activities may be
included. Do not duplicate entries found in any other section. Do not include the following in this section: employment, sports, or summer
activities, since that information is considered elsewhere.
Activity
Student government, societies, publications, fine
arts, civic organizations, academic teams, JROTC,
organizations, band, etc.
Grade level
Accomplishments and awards
Offices held, honors received. Please elaborate on your
contribution.
9
10
11
12
1)
2)
3)
4)
5)
I-8
PART
I
Full Name
LAST
Date Of Birth
/
MONTH
FIRST
/
DAY
YEAR
Athletics
Please mark: V for Varsity, JV for Junior Varsity, C for Community, or I for Intramural under each grade level as appropriate.
9
Sport
10
11
12
1)
2)
3)
4)
Honors and Awards
List below any significant honors or awards you have received and the year you were recognized.
Honors / Awards Won; Special Recognition
9
10
11
12
1)
2)
3)
4)
I-9
PART
I
Full Name
LAST
Date Of Birth
/
MONTH
FIRST
/
DAY
YEAR
Work Experience
If you have had one or more jobs during any school year while in high school, please list up to three of them here by their order of
importance to you, with the most important job first. Work during summers should be listed under the summer activities section.
Employer
Position, duties, accomplishments, leadership and supervisory roles, recognition, and benefits you derived.
Dates
Hrs / Week
1)
2)
3)
Summer Activities
Please describe your most significant activities (e.g., academic or leadership enrichment, volunteer 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
Position, duties, accomplishments, leadership and supervisory roles, recognition, and benefits you derived.
1) Summer prior to 10
2) Summer prior to 11
3) Summer prior to 12
I-10
PART
I
Full Name
LAST
Date Of Birth
/
FIRST
/
MONTH
DAY
YEAR
9. Self Reported GPA
As a freshman applicant, it is required that you complete the following Self-Reported Academic Record Chart. UGA will use this, along with the
required high school transcript, to review your high school academic performance. It is important that you complete this chart accurately and
completely, so we suggest you obtain a copy of your transcript before moving forward with completing this section. You must list all academic
grades, even if a course was repeated or taken during the summer. If you are admitted, we require that you send us a copy of your final high
school transcript, and we will check for both graduation and we will verify the grades you listed on the Self-Reported Academic Record Chart.
Any discrepancies may result in UGA rescinding your offer of admission.
If you attend an international school that does not follow the US grading system, or if you are a home-educated student attending a
non-accredited institution, please indicate so here. All other applicants MUST complete the Self-Reported Academic Record.
No, I can NOT self report my GPA.
Yes, I can self report my GPA.
Courses
A's
B's
C's
D's
F's
English
Math
Social Studies
Science
Foreign Language
Other AP / IB / AICE
Of the above grades, how many are AP/IB/AICE?
How many full year AP/IB/AICE/Dual Enrollment classes will you have completed by the end of your senior year (round up if needed).
10. The University of Georgia Honor Code and Application Validation Statement
"I will be academically honest in all of my academic work and will not tolerate the academic dishonesty of others."
ALL applicants must read and sign the following section in order to complete the Application for Admission to the University of Georgia:
By my signature below, I understand that I am subscribing to the University of Georgia’s Honor Code and agreeing to be bound by such in the
event that I am admitted and subsequently enroll as a student at the University. I understand that, until I enroll, I have a continuing obligation to
update the information submitted to the University in my Application for Undergraduate Admission. I further attest that to the best of my
knowledge all of the information I have supplied in this application, or will subsequently submit, is complete and accurate and that any omission
or misrepresentation will invalidate any further consideration or subsequent admission.
I understand that any material false statement made knowingly and willfully by me on this application, or any documents attached
hereto may, in accordance with O.C.G.A. 16-10-71, which provides that upon conviction, a person who knowingly commits the
offense of false swearing shall be punished by a fine of not more than $1,000 or by imprisonment for not less than one nor more than
five years, or both, subject me to prosecution in a court of law. Additionally, I further understand than any such false statement may
subject me to immediate dismissal from the institution. Further, I certify that, to the best of my knowledge, the information submitted
on this application is true and complete.
Additionally, I understand and agree that I will be bound by the University's regulations concerning admission requirements, including all
application and enrollment deadlines. Finally, I understand that the application processing fee is non-refundable, as is the commitment deposit
(due May 1 should I be admitted as a first-year student).
Applicant's Original Signature (in ink)
Signed
/
MONTH
/
DAY
YEAR
I-11
THE
UNIVERSITY OF
AP P LI CAT I O N
GEO RGIA
PART
F O R F I R S T -YEAR AD M I S S I O N
II
Part II of the application for First-Year Admission is required of all Regular Decision, Deferred Early Action, and Joint or Advanced
Enrollment applicants.
Date Of Birth
/
/
MONTH
DAY
YEAR
Full Name
LAST
FIRST
MIDDLE
S U F F I X ( JR., III, E T C.)
Name Called
10. Short Essays
Essay A of the four available essay topics, below, is required of everyone using this application, and it can be addressed in as many as 300
words. The other essays should be limited to 150-200 words. You will have your choice of TWO of the three other topics for your Essays B and
C. An appropriate approach for first drafts might be to focus on the essay prompts and the basics of good writing in developing your insights;
meet word count limits with your final draft. Prior to writing your short essays, we strongly encourage you to read the UGA Faculty Statement on
Diversity, which is available on our Web site at www.admissions.uga.edu. Please be sure to include your full name (as listed on your
application) and date of birth on each page of the attachment, as well as the essay topic with each of your responses.
A) The UGA faculty has determined that the student body should demonstrate the qualities listed at
https://www.admissions.uga.edu/article/philosophy-statement.html. After reviewing this, help us understand which of your qualities
will add value to our community of scholars. (250-300 words)
II-1
PART
II
Essay B Selection:
Full Name
LAST
Date Of Birth
/
MONTH
FIRST
/
DAY
YEAR
Essay C Selection:
II-2
PART
II
Full Name
LAST
Date Of Birth
/
MONTH
FIRST
/
DAY
YEAR
Update
If you would like to, please list any updated information since your initial Early Action application.
11.The University of Georgia Honor Code and Application Validation Statement
"I will be academically honest in all of my academic work and will not tolerate the academic dishonesty of others."
ALL applicants must read and sign the following section in order to complete the Application for Admission to the University of Georgia:
By my signature below, I understand that I am subscribing to the University of Georgia’s Honor Code and agreeing to be bound by such in the
event that I am admitted and subsequently enroll as a student at the University. I understand that, until I enroll, I have a continuing obligation to
update the information submitted to the University in my Application for Undergraduate Admission. I further attest that to the best of my
knowledge all of the information I have supplied in this application, or will subsequently submit, is complete and accurate and that any omission
or misrepresentation will invalidate any further consideration or subsequent admission.
I understand that any material false statement made knowingly and willfully by me on this application, or any documents attached hereto may, in
accordance with O.C.G.A. 16-10-71, which provides that upon conviction, a person who knowingly commits the offense of false swearing shall be punished
by a fine of not more than $1,000 or by imprisonment for not less than one nor more than five years, or both, subject me to prosecution in a court of law.
Additionally, I further understand than any such false statement may subject me to immediate dismissal from the institution. Further, I certify that, to the
best of my knowledge, the information submitted on this application is true and complete.
Additionally, I understand and agree that I will be bound by the University's regulations concerning admission requirements, including all
application and enrollment deadlines. Finally, I understand that the application processing fee is non-refundable, as is the commitment deposit
(due May 1 should I be admitted as a first-year student).
Applicant's Original Signature (in ink)
Signed
/
MONTH
/
DAY
YEAR
II-3