Application for Readmission

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Semester you wish to re-enter DTC(Required)

Year(Required)

Student ID or Last 4 of SSN#

Name(Required)

First Middle Last

Did you have a previous enrollment at DTC under a different name?

Former Name Under Previous Enrollment

First Middle Last

Permanent Home Address

Street Address Address Line 2 City State ZIP Code

Local Mailing Address

Street Address Address Line 2 City State ZIP Code

Email(Required)

Telephone Number(Required)

South Carolina Resident(Required)

Date of first Denmark Technical College Registration(Required)

Year(Required)

Last Semster attended Denmark Technical College(Required)

Year(Required)

Completed Semester

Did you officially withdraw?

Semester Officially Withdrew(Required)

Year(Required)

List below all colleges or universities attended since last attendance at Denmark Technical College.

Name of College/University

Address

State

From (Month/Year)

To (Month/Year

Press on the (+) to add additional institutions.

I hereby certify that the information given is true to the best of my knowledge. I agree to meet all obligations, financial and otherwise, as set forth in the College’s literature. I understand that readmission to continue my academic studies does not approve my financial aid. I must complete a FASFA for financial aid consideration and be approved by the Office of Financial Aid.

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Application for Readmission

Application for Readmission

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Application for Readmission

Application for Readmission

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Student Affairs

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