APPLICATION RECEIPT

BASIC INFORMATION
Full Sail ID number: 06/02/1984
Date of birth:

Brandon Lee Buchan

Legal name: Primary phone: 6786513766

Nickname: Secondary phone:

Email address: brandon.buchan@icloud.com Other phone:

4200 fair grove rd
Alternate email address: Physical address:
Gillsville, GA

Gender: ✔ Male Female Not specified 30543
US

ETHNICITY/DEMOGRAPHICS
Is applicant Hispanic? Yes ✔ No Prefer not to disclose

Race indicated: White

PREVIOUS EDUCATION
Is applicant a Current High School Student? Yes ✔ No

If yes, is applicant a high school senior? Yes No

School State: School City: School Name:

Expected Graduation Date:

If no, did applicant receive a: Standard High School Diploma ✔ GED None of the Above

GED Information:

Testing center City / State: Gainesville

, Georgia Institution: Ltsalc

2002
Year Taken: Date GED Received: 06/04/2002

Did applicant take classes or complete a degree at a college or university? Yes ✔ No

School State: School City:

School Name: Years Attended: -

Did applicant graduate from a college or university? Yes No

Graduation date:

Degree Type:

Major:

GPA:
VETERANS AFFAIRS BENEFIT INFORMATION
Is applicant using Veterans Affairs (VA) Benefits to help fund their education? Yes ✔ No

If yes, status: Active Duty Dependent Reservist Veteran

CITIZENSHIP/NATIONALITY
Is applicant a U.S. Citizen? ✔ Yes No

If yes, last 4 digits of SSN: 8254

If no, applicant is: U.S. Permanent Resident Non Citizen U.S. Visa Holder

Country of origin:

Is English your Primary Language? ✔ Yes No

If no, Primary Language:

DEGREE PROGRAM

Primary degree: Computer Animation Bachelor of Science
Degree Program-Online

Additional degrees:

Registration/Orientation date: 09/27/2020 Start date: 09/28/2020

REASONABLE ACCOMMODATIONS
✔ I have read and understand the Services for Students with Disabilities section of the Full Sail University catalog.

If you have a qualifying disability and will require the use of auxiliary aids and/or services to effectively participate in Full Sail University courses and programs, you must
contact the Student Success Team as directed in the Services for Students with Disabilities section of the Full Sail University catalog to request an auxiliary aid or service.
Upon requesting an auxiliary aid or service, you will be required to provide supporting diagnostic documentation of your disability, and you may be requested to assist
Full Sail University in identifying appropriate and effective auxiliary aids or services to help ensure your effective participation in courses and programs.

Yes, I will be requesting the use of auxiliary aids and/or services as described above.

✔ No, I will not be requesting the use of auxiliary aids and/or services as described above.

ACKNOWLEDGEMENTS
Have you ever been arrested for, charged with, or convicted of a criminal offense, regardless of the adjudication?

✔ Yes No

✔ I understand that all students will incur an additional required fee (separate from tuition) for the cost of the computer and software.
Technology configured in accordance with program specifications.

ACCEPTANCE AGREEMENT
If accepted, I agree to abide by the policies of the school and authorize the use of my likeness, appearance, performance, voice, name, and student projects in connection
with the operation and promotion of the school. I acknowledge that names, products, services, logos, and concepts may be service marks, trademarks, patents, registered
service marks, or registered trademarks of Full Sail, LLC. and may not be used in any way without the express written consent of Full Sail, LLC. I have read the school catalog
and understand its contents and requirements. I also understand that Full Sail reserves the right to withdraw subjects, courses and programs if registration falls below
the required number, and to change faculty and staff without prior notice to students. I hereby grant Full Sail permission to make any necessary inquiries. I voluntarily and
knowingly authorize any former school, government agency, employer, person, firm, corporation, and/or its officers, employees, and agents, to comply with such a request
from Full Sail or its agents. The information I have provided is complete and accurate to the best of my knowledge. I agree to abide by all rules and regulations of Full Sail.

✔ I AGREE
Full Legal Name: Brandon Buchan Today’s Date: 09/22/2020