IFP Application form

IFP Application Form

Full Name
Last Name First Name Middle Name

Last 4 digits of SSN _____

D.O.B (mm/dd/yyyy) / /

Permanent Address
Street City State Zip Code

E Mail Address

Phone Number ( ) - Age ( )

Place of Birth
City State or Province Country

I am currently (check all that apply)
H.S. Senior Applied to UGA UGA Student University / College Student Elsewhere

If you are enrolled in a college or university elsewhere, please list:

For High School Students | | |
GPA Verbal SAT Math SAT ACT

For University / College Students
Georgia Resident Yes No

Overall GPA

Member of University Honors Program Yes No

University / College Major

How did you first learn about this program?

Write a brief statement describing your interest in our program.

If you have any physical handicap or medical condition that might affect your participation in field activities, please explain fully below.
The presence of certain handicaps or medical conditions does not necessarily exclude your acceptance into the program.

Note: If you are not currently a UGA student or have not applied to UGA, please send:
    *   High School Seniors: transcripts and SAT/ACT scores
    *   Non UGA Students: University transcripts
To:
    IFP Program
    Department of Geology
    the University of Georgia
    Athens, GA 30602
I give the IFP staff permission to access my academic and student judiciary records

Yes | No