ASSIST Application - Athens State University

Name*

First Last

Athens State Student ID (If Known)

Today's Date*

Target Start Semester*

Anticipated Major*

Secondary Education (desiring to be certified to teach high school or middle school)*

CONTACT INFORMATION

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

Have you completed a bachelor's degree in the past?*

Number of Credit Hours Completed*

Overall GPA*

Describe your career goals and explain the ways that the ASSIST program can help you achieve those goals.*

Minimum 500 words that can be typed in the box or uploaded below.

Essay Upload

Drop files here or

Accepted file types: doc, docx, pdf, rtf, Max. file size: 5 MB, Max. files: 5.

If you prefer to upload your essay for the application

Major in a STEM field (Biology, Chemistry, Computer Science, Information Technology, or Mathematics, including Secondary Education)
Must have applied to Athens State University
Enroll at least half time (6 credit hours or more per semester)
Complete the FAFSA (demonstrate financial need)
Must provide two letters of recommendation from academic or work personnel (One letter must be submitted by a teacher or professor; these must be submitted directly by the reference to Shannon.Pittman@athens.edu)

I agree to complete the following Program Requirements*

Type your initials to show you agree with the program requirements

How did you hear about this opportunity?*