Admission Application

Please enter your information in each of the following sections. Fields with a red asterisk (*) are required and must be completed before you can submit your application. Additional questions may become required based on your answers to a previous question.

Contact Information

Preferred Pronoun

First Name

Middle Name

Last Name

Permanent Address

Address is outside of the United States or Canada

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Personal Information

Home Phone

Cell Phone

Email Address

Confirm Email Address

Birth Date

Gender

Social Security Number

College Plans

Are you interested in campus housing?YesNo

Do you plan to apply for Financial Aid?YesNo

Veteran?YesNo

Have you ever been convicted of a felony?

Citizenship

Are you a U.S. Citizen?YesNo

Are you a legal resident of South Carolina?

Optional Ethnic Information

The information you provide in this section will not be used in a discriminatory manner.

Ethnicity

Race

Education Information

The following items are optional. No information you provide will be used in a discriminatory manner.

Have you ever taken the Accuplacer Exam?YesNo

Did or will you receive a GED?

GED Date

GED State

Emergency Contact Information

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Phone Number

Relationship to you

Academic Plans

Student Enrollment Status

Semester to Enter DTC

Degree Type

Please check the program you wish to enter

Certification

Please affirm the following before you submit your application.

Do you certify the following?

I certify that all information provided is accurate and complete to the best of my knowledge. I realize that any falsification of information or willful omission of requested information may be sufficient cause for the college to cancel my enrollment.

YesNo

Do you certify the following?

I certify that all of the information submitted in the application is my own work, factually true, and honestly presented. I authorize all schools attended to release all requested records and authorize review of my application. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation or expulsion, should the information I certified be false.

YesNo

Do you certify the following?

I understand that an offer of admission is conditional, pending receipt of final transcripts showing work comparable in quality to that upon which the offer was based.

YesNo

The electronic signature consists simply of your name, typed by you on your keyboard. The signature is your confirmation that the application you have filled out is your own work and the information is factually true. Once you type in your name, this will count as your electronic signature.

Signature

Signature Date

There shall be no discrimination, in any respect, by Denmark Technical College against a student, or applicant for admission as a student, based on race, color, age, religion, national origin, sex or disability. For inquiries on nondiscrimination policies, contact: Sharon Miller, Disability Coordinator, 1126 Solomon Blatt Blvd., Denmark, SC 29042, or call (803) 793.5274.

Admission Application

Contact Information

Permanent Address

Personal Information

College Plans

Citizenship

Optional Ethnic Information

Education Information

High School

High School 1

Colleges Attended

Emergency Contact Information

Academic Plans

Certification