STAR 2025 Application

Please contact the Summer STAR program at STAR@augusta.edu or 706.721.9516 should you have any questions.

Personal Information

First Name

Preferred First Name

Middle Name

Last Name

Pronouns

Birthdate

Gender

Do you identify as Hispanic?

Please select all that apply.

Contact Information

Permanent Address:

Country

Street

City

Region

Postal Code

Permanent address valid from:

Permanent address valid to:

Is your Mailing Address the same as your Permanent Address?

Country

Street

City

Region

Postal Code

Mailing address valid from:

Mailing address valid to:

Cell Phone Number

Can we correspond with you via text message?

Email Address

On-Campus Housing Accommodations

I would like to request on campus housing, if it is available.

Citizenship Information

Citizenship Status

Citizen = USA (hidden)

Citizen = PR (hidden)

Country of Citizenship

Visa Status (if applicable)

Do you have a social security number/card? Please note, your original social security card is required for employment and participation in the summer program at Augusta University.

Yes

No

Education

Please list all colleges you've attended starting with your current institution.

College Name

College CEEB Code (hidden)

School Level = UG (hidden)

Major

Started Attending

Attended To

Anticipated Date of Graduation

Class

DeleteCollege _ID_
Additional Colleges
College Name College CEEB Code (hidden) School Level = UG (hidden) Started Attending Started Attending Attended To Attended To

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