SRESFS Application

Transient Permission Form
for the SRESFS Program at
South Carolina State University and
University of South Carolina, Aiken Campus.

Please only enter one application per academic year. If assistance is needed, please contact 803-596-2778.

Personal Information

Legal First Name

Legal Middle Name

Legal Last Name

Preferred Name

Email Address

Mailing Address

Country

Street

City

Region

Postal Code

Biographical Information:

Legal Sex*

Birthdate

Citizenship Information:

Primary Citizenship*

Dual Citizenship

Residency Status*

U.S. Permanent Resident

Social Security Number
Please use the following format: XXX-XX-XXXX.

Race/Ethnicity

While SC State University does not use this information for the purposes of admissions, colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions. View Definitions
Definitions

White: A person having origins in any of the original peoples of Europe, Middle East, or North Africa.

Black or African American: A person having origins in any of the black racial groups of Africa.

Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

Asian: A person having origins in any of the original peoples of the Far East, Southest Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

American Indian or Alaska Native: A person having origins in any of the original peoples of North and South America (including Central America), who maintains cultural identification though tribal affiliation or community attachment.

Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

Are you Hispanic or Lationo?

Yes

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

Transient Permission to Enroll at Another Institution:

I choose to attend courses at:

Home School Information:

The above listed student is currently enrolled in good standing at the following, home institution and has permission to attend courses at University of South Carolina Aiken and/or South Carolina State University. Academic credits for the courses taken may be transferred to this home school.

Please enter home school name:

School City:

School State:

Full Name of School Official Authorized to Verify Good Standing at home institution:

Email Address of School Official Authorized to Verify Good Standing at home institution:

Application/FERPA Consent

By completing this application, and signing my name below, I understand that I am providing access to my academic records to the institutions listed on this application and acknowledge that a separate F.E.R.P.A. form for this information is not required by me for this information to be released in conjunction with this application, providing my records or transcripts as long as the information pertains to this application.

Signature:

Important Information:

South Carolina State University and the University of South Carolina do not discriminate in educational or employment opportunities or decisions for qualified persons on the basis of race, color, religion, sex, national origin, age, disability, sexual orientation, or veteran status.

For more information regarding Campus Safety and our Annual Security and Fire Safety Report for South Carolina State University, please visit the University's web page: http://police.scsu.edu/annual-security-reports/