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Temporary Enrollment Agreement for Active Duty Military

Thank you for your application to Austin Peay State University!  Currently, your admissions file is incomplete; however, you will be allowed to register for your applied term with the completion of this agreement. Persons using this form are not officially admitted and will not be eligible to receive class credit or financial aid.  Transferability of credit may not be evaluated at the time of admission and registration. By completing the following agreement, you certify your understanding and intend to comply with all included provisions of this agreement, including timely completion of your admissions file.  Please complete all of the following items which pertain to your academic record:
High School/GED/HiSET Test Scores:
Official transcripts must be sent directly from your high school and/or your GED testing center to the Admissions Office. Transcripts stamped issued to student are not official.
Colleges/University Transcripts
Official transcripts must be sent directly from your previously attended colleges and/or universities to the Admissions Office. Transcripts stamped issued to student are not official.
Academic Standing
Are you in good academic standing at previous college(s)?:
Are you on probation?:
Are you on suspension?:
Military Transcripts
Placement Test
Transcript Submission
Any reason you cannot have transcripts sent?:
Where and When will you Apply?
Main Campus:
Ft. Campbell Campus:
Residency
How long have you lived continuously in Tennessee or Allen, Calloway, Christian (including Fort Campbell), Logan, Simpson, Todd or Trigg counties in Kentucky?
Submission


I understand that I have not been officially admitted and that I must supply the Office of Admissions with complete and official transcripts. I further understand that if I fail to do this or if my transcripts and/or scores of previous institutions fail to meet admission requirements, my temporary enrollment, course registration, and grades may be canceled, and I may be held responsible for some or all tuition and fee charges
(ex. A12345678)
Format: (xxx) xxx-xxxx
EMERGENCY CONTACT INFORMATION
Format: (xxx) xxx-xxxx