Joint Admissions Agreement

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Birth Date

MonthDayYear

Last 4 Digits of SSN

Phone Number

Area CodePhone Number

E-mail

Community Colleges

Semester Applying

By signing this agreement, the student authorizes TSU and LSCS or HCCS to exchange all information on a regular basis related to the student’s enrollment at either institution for purposes of maintaining academic, discipline and other appropriate student records as required to be maintained by each institution, and certifies that he/she meets Joint Admission requirements as outlined above.

I agree to all the above

I Agree

Electronic Signature

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