Freshman Application — Georgia Synergy Business Institute

Undergraduate Freshman Application

High school/secondary school juniors and seniors, or high school/secondary school graduates who have not attended a college or university. Includes home-schooled and jointly enrolled students.

General Information

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

For International Residency Address

For International Phone Number

Country

(###)

###

####

Email Address

What is your gender?

Marital Status

Date of Birth

YYYY

What country were you born in?

Citizenship Status

U.S. Citizen

U.S. Permanent Resident (Green Card Required)

Non-U.S. Citizen

First Academic Term of Enrollment (e.g. Fall 2020)

Intended Program of Study

Where would you like to study

Do you plane on being full time or part time?

Are you currently employed?

English is your first language

Emergency Contact Information

Emergency Contact 001

Country

(###)

###

####

Emergency Contact 002

Country

(###)

###

####

Education History

Name of Secondary, Home, or High School

Address of Secondary, Home, or High School

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

For International Address of Secondary, Home, or High School

Have you ever been placed on probation, suspended, or expelled from an educational institution since the 9th grade?

Have you ever been convicted of a felony or other crime?

GSBI Rules and Regulations Agreement

If I am admitted and enroll at GSBI, I agree to abide by the rules and regulations of the Georgia Synergy Business Institute.

By clicking the “Submit” button, you acknowledge that you providing us with your mobile phone number, you are consenting to receiving texts from GSBI regarding admission policies, reminders and events. Individuals may opt-out of text messaging at any time.

For International Phone Number