Personal Information

Last Name	First Name	Middle Name
Address City State Minnesota Zip Code
Home Phone	Cell Phone	E-mail Address

High School Albany Benson Brandon Breckenridge Hancock Jefferson Minnewaska Osakis Pick One Year of Graduation

How long have you lived in Minnesota? years months

Additional Information

Note: Providing the following information is voluntary but will be helpful in reducing duplicate records. This information will not be used as a basis for acceptance to the college.

Date of Birth Social Security Number(optional) Gender Pick One Male Female

Ethnic Background	Pick One Black, African American Asian White Hispanic or Latino American Indian/Alaskan Native Native Hawaiian/Other Pacific Islander
1st Parent/Guardian Education	Pick One No high school diploma High school diploma Some college Two-year college degree/diploma Bachelor's degree or higher Not sure/don't know
2nd Parent/Guardian Education	Pick One No high school diploma High school diploma Some college Two-year college degree/diploma Bachelor's degree or higher Not sure/don't know

Note: Students will not be registered for courses until the college has proof of the student meeting test score eligibilty requirements.

Satisfactory Academic Progress policy

• Poor academic performance in college courses will impact the student’s permanent college record and may affect high school graduation.
• All college students are required to maintain satisfactory academic standing. Not maintaining a satisfactory standing will lead to a warning or suspension status. A suspension status may lead to academic suspension from the college and/or future loss of financial aid (including grants, loans, work study, etc.)
• Qualitative Standard/Grade Point Average: Students must maintain a 2.0 cumulative ATCC grade point average (GPA) at all times.
• Quantitative Standard/Completion Percent: Students must complete, with a passing grade, at least 67% of their cumulative registered credits. At the end of each semester, the number of credits the student attempted (registered for) is used to determine whether the student is progressing at a satisfactory rate.
• A suspension status may cause denied admission to a future college or denied financial aid at a future college
• Please refer to ATCC policy 3.17.10 at http://www.alextech.edu/en/AboutATC/Policies/Chapter3-EducationalPolicies/CourseRequirementsandGrading/SatisfactoryAcademicPolicy.aspx

If you have any policy questions or concerns, please contact ATCC at 320-762-4489 or kelliet@alextech.edu

I understand ATCC's Satisfactory Academic Progress policy and the risks involved with poor performance in college courses.