TLC Academy Admissions Application

 

 
Name *
Name
Address *
Address
Home Phone
Home Phone
Cell Phone *
Cell Phone
Date of birth *
Date of birth
Male or Female *
Citizenship Status *
US Citizen?
Is English your Native Language *
Returning TLC Student? *
Please sign below after reading and confirming. Certification: I understand that any material false statement made knowingly and willfully by me on this application, or any documents attached hereto may, in accordance with O.C.G.A .16-10-71, which provides that upon conviction, a person who knowingly commits the offense of false swearing shall be punished by a fine of not more than $1,000 or by imprisonment for not less than one nor more than five years, or both, subject me to prosecution in a court of law. Additionally, I further understand that any such false statement may subject me to immediate dismissal from the institution. I understand that any information provided during the application process may be used by TLC Butterfly Effect Academy in obtaining a criminal history check. I understand that this background check may affect my admissions to SGSC. Further, I certify that, to the best of my knowledge, the information submitted on this application is true and complete. ***Only complete forms can be processed. Incomplete forms may result in an administrative delay due to lack of information
Campus Choice *
Please choose which campus you want to attend
 

Enrollment Application fee $100 (non-refundable)

After submitting the above application, the $100 application fee MUST be submitted as well, if not the application will NOT be processed. 

When sending payment via cash app, send to $tlcbutterflyeffect

type in your name in the β€œfor” box.