Foreign National Supplemental Form

The following questions will help to determine your eligibility for specific programing at the University of North Georgia. You must complete this form to be considered for admission.

To maintain compliance with OFAC regulations, the University of North Georgia requires additional information from foreign national applicants prior to acceptance into our online programs where no visa is issued that would serve as license. Please indicate your citizenship as well as the location where you will be a resident for the duration of your studies at the University of North Georgia.

Form Information

First Name

Last Name

Email Address

Date of Birth

Citizenship

Are you a Dual Citizen? If yes, select your second country of citizenship.

Primary Residency

Secondary Residency

By checking this box, I certify that my studies will be completed in the above listed primary residency or secondary residency location. I further certify that I am not ordinarily a resident of an OFAC restricted region, nor planning to travel to an OFAC restricted region for the duration of my study at the University of North Georgia. I confirm that I will not temporarily reside or access UNG program material from any restricted area anytime during my enrollment.

Submission

By checking this box, I certify that all information contained herein is true and accurate. I agree that falsifying any information will be cause for withdrawing from consideration. Additionally, I further understand that any such false statement may subject me to immediate dismissal from the institution.

Signature:

Type your name as you would sign an official document.