ACC Transitions Program Admission Application
Complete the entire application. Please be sure you complete all questions, or your application will be deemed incomplete and may not be considered.
First Name
Your answer
Last Name
Your answer
Middle Name
Your answer
Email
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Date of Birth
Format: MM/DD/YYYY
MM
/
DD
/
YYYY
Phone
Your answer
Are you eligible to live and work in the United States?
Are you 18 years of age or older?
If not, please specify age in the "Other" box
Are you currently employed?
If YES, what is your current job title, and department name?
Your answer
May we contact your supervisor?
If YES, please list the person’s name and phone number.
Your answer
Are you related to any ACC employees or member of the THECB?
If YES, please list their name and their relationship to you.
Your answer
Do you have reliable transportation to and from class, four nights per week, for ten weeks?
If YES, please explain how you will get to class (your own car, a relative’s car, carpool, bus, bicycle, etc)
Your answer
Are you interested in DAY or EVENING classes?
When would you like to begin attending Transitions classes?
How did you learn about this program?
Check all that apply
Required
Education
Did you earn a GED certificate or high school diploma?
If YES, please specify the date of graduation or completion GED
Format MM/DD/YYYY
Your answer
If you were enrolled in ACC’s GED program, please list your instructor’s name
Your answer
City/State of High School or GED program
Your answer
Do you or have you attended another college other than ACC?
If YES, please specify the name of the college you attended
Your answer
City/State of college other than ACC
Your answer
Did you graduate from a college other than ACC?
If YES, please specify the degree or certificate you were awarded
Your answer
Please specify your GPA or GED Scores if applicable
Your answer
Please describe any other education experience you may have
Your answer
Work Experience
Please give us an idea of your work experience. Having little or no work experience will not disqualify you from our program. However, any information you can provide about your training and/or professional experience would be helpful. Please begin with your current or most recent employer. If you held multiple positions with the same organization, detail each position separately.
Dates Employed (most recent position from to)
Format: MM/DD/YYY - MM/DD/YYYY or (Present)
Your answer
Full time or Part Time
If part-time, please specify how many hours per week
Your answer
Title of Position
Your answer
Organization Name and Address
Your answer
Description of Duties
Your answer
If you will be employed during the upcoming semester, please describe expected work schedule:
Your answer
Volunteer and Community Involvement
Are you involved with any volunteer, community projects, or organizations? If so, please list them below
Please specify the organization's name, your role there, and the dates you were involved
Your answer
Please answer the questions below.
Why are you interested in going to college?
Your answer
What benefits do you think this program will provide you to help you on your path to college?
Your answer
If you are admitted into the program, how do you plan to balance your work life, school, and personal obligations?
Your answer
PLEASE READ CAREFULLY AND SIGNIFY THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION
I certify that the information on this application and its supporting documents is accurate and complete. I authorize Austin Community College to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment. I understand that ACC values my personal information and will never share, sell, or release my information in any way.
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