Georgia Southern University
Application for Admission to the College of Graduate Studies

Office of Graduate Admissions, P O Box 8113, Georgia Southern University
Statesboro, GA 30460-8113
Voice: (912) 681-5384, Fax: (912) 681-0740
Please fill out the form below and apply on-line. There is a nonrefundable application fee of $30.00.

E-mail address: *Required
Social Security Number
Semester applied for:     Year applied for:    

Deadlines for U.S. Citizens
Deadlines for International Applicants

Date of Birth (MM/DD/YY)
Full legal name (last, first, middle, Jr., III, etc.)
Previous name used:
Previous name used:
Male Female
Predominant Ethnic Group
(Answer is optional.)

Local Mailing Address:
Street
City    State    Zip Code

Permanent Mailing Address:
Street
City    State    Zip Code
County of residence
E-Mail Address:

Telephone Numbers:
Daytime - - Home - -

Is English your native language? Yes No
If no, name your native language
Country of birth
Country of citizenship
Current visa type
Born U.S. Citizen Naturalized Citizen
Resident Alien (Foreign-U.S. resident) Alien (Foreign-nonresident)
Are you resident of Georgia? Yes-How long? No-State residence

Degree applying for: Major and Code Information
Major
Code Major and Code Information
 Not Applying for Degree (If you mark this, choose one from box below)

Download a on-Degree Certificate Form(pdf)
Download a Non-Degree Limited Form(pdf)

List all colleges and dates attended (Give full name of each college; furnish offical transcript from each):

Name of College
City & State Diploma/Degree From To

I certify that the information contained in this application is true and correct. I understand that misrepresentation or omission of information will be sufficient cause for rejection or dismissal.

Signature:
(Signature only for sending application through US Mail.)
Date (MM/DD/YY):
Georgia Southern University is a unit of the University System of Georgia.

Graduate Assistantship Application (Adobe Acrobat Reader required to view and print document.)

 

 

 

 

 

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