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Military Student Inquiry Form
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Thank you for your interest in Augusta University. Please complete the below form to join our mailing list and receive updates regarding admissions and benefit information.
Student Information
First Name
Preferred First Name
Middle Name
Last Name
Email Address
Birthdate
(optional)
Birthdate
(optional)
January
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1911
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1907
1906
1905
1904
1903
1902
1901
1900
Military Information
If you are affiliated with the military, how so?
If you are affiliated with the military, how so?
Directly
Dependent
How are you affiliated with the military?
Active Duty
Dependent
National Guard
Reservist
Retired
Veteran
In which branch of the military are you serving or did you serve?
Air Force
Army
Coast Guard
Marines
National Guard
Navy
Space Force
How is the person claiming you as a dependent affiliated with the military?
Active Duty
Dependent
National Guard
Reservist
Retired
Veteran
In which branch of the military did they serve or are they serving?
Air Force
Army
Coast Guard
Marines
National Guard
Navy
Space Force
Have you applied for VA educational benefits?
Yes
No
Have you obtained Certificate of Eligibility for VA educational benefits?
Yes
No
Are you planning on using Department of Defense Tuition Assistance (TA)?
Yes
No
Education Information (optional)
What type of student are you?
Freshman Student
Transfer Student
Graduate Student
What is your intended entry term?
Spring 2020
Summer 2020
Fall 2020
Spring 2021
Summer 2021
Fall 2021
Spring 2022
Summer 2022
Fall 2022
Spring 2023
Summer 2023
Fall 2023
Spring 2024
Summer 2024
Fall 2024
Spring 2025
Summer 2025
Fall 2025
Spring 2026
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Fall 2027
Fall 2028
Fall 2029
Fall 2030
Term Prior to Slate
High School Attending/ed
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High School Graduation Year
Prior to 2016
2016
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2019
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2024
2025
HS CEEB (hidden)
HS Level (hidden)
High School
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Other
Most Recent/Current College
(if applicable)
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College CEEB (hidden)
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Contact Information (optional)
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Would you like to receive updates from AU via text?
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Source (hidden)
Comment
Contact
Contact - Email
Contact - In-Person
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Contact - Spoke to Other
Contact - Spoke to Parent
Contact - Spoke to Student
Contact - Text
Contact - Unsuccessful
Contact - Virtual
Event
Event - D2L Virtual Orientation
Event - Legacy Orientation Registration
Freshman Inquiry Source
Freshman Inquiry Source - College Board - Interest in My College
Freshman Inquiry Source - College Board Connections
Freshman Inquiry Source - Daily Campus Visit
Freshman Inquiry Source - See Augusta
Freshman Inquiry Source - Web Inquiry
Georgia Match
Georgia Match - Claim My Spot (GA Match)
Georgia Match - I'm Interested (GA Match)
Mailer
Mailer - Accepted Student Swag
Mailer - Apply Postcard
Mailer - Confirm Postcard
Mailer - Convocation Postcard
Mailer - Junior Postcard
Mailer - SC Scholarship Mailer
Mailer - Viewbook Sent
Offer Status - Regents Presidential Scholarship
Payment
Radius Historcial Data
Radius Historcial Data - Call Radius Historical Data
Radius Historcial Data - Mailer Radius Historical Data
Radius Historcial Data - Radius Event AASRP
Radius Historcial Data - Radius Event Admitted Student Day
Radius Historcial Data - Radius Event Campus Tour
Radius Historcial Data - Radius Event Counselor Events
Radius Historcial Data - Radius Event Dual Enrollment Interest Meeting
Radius Historcial Data - Radius Event Dual Enrollment Orientation
Radius Historcial Data - Radius Event Miscellaneous
Radius Historcial Data - Radius Event Preview Day
Radius Historcial Data - Radius Event Transfer Day
Radius Historcial Data - Radius Historical Data Regional Event
Radius Historcial Data - Text Radius Historical Data
Record Update
Record Update - EGSC Registration History
Record Update - EGSC Registration Problem
Record Update - Processed
Record Update - Reevaluated
Record Update - Registered for Courses
Record Update - Requested
Source
Source - AP Score Load
Source - CAPPEX
Source - CAPPEX Name Buy
Source - CAPPEX Transfer
Source - College Board Name Buy
Source - College Fair
Source - CollegeNet App Prospect
Source - Common App Prospect
Source - Common App Suspect
Source - Digital Marketing DCM Form
Source - Encoura Name Buy
Source - FAFSA
Source - Fort Gordon Inquiry Form
Source - GACE
Source - Main Inquiry Form
Source - PROBE Fair
Source - RNL App Cultivator
Source - RNL Demand Builder
Source - RNL Non-Responder
Source - RNL Responder
Source - RNL Score
Source - SAT or ACT Load
Source - Technical Standards Form
Source - UGA and Gtech Denials
Source - UGA COM List
Source - XAP App
Source - XAP App Prospect
Source - You Visit
Watch Flag
Zeemee
Zeemee - Joined Zeemee Community
Zeemee - Zeemee Engagement
Zeemee Live Event Attended
Questions or Comments?
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Last modified: March 25, 2019 by Heather Hopkins