Dual Enrollment
Billing Form

Section 1 - Please fill out entirely:
  • First Name:

  • Last Name:

  • Student ID number:
  • (forget your Student ID? - click here)

  • What High School do you attend?

  • Once you have reached your Dual Enrollment funding cap do you plan to continue taking classes as a Dual Enrolled student at Chatt Tech?

  • How do you plan to continue funding your Dual Enrollment courses at Chatt Tech?

  • If you choose to use the HOPE Grant/Career Grant, please choose your program of study from the list below:

Note**You may be required to submit additional documentation for lawful presence to be considered for in-state tuition. Upload legible copies of documents HERE for lawful presence verification.


Section 2 - Citizenship Information:
  • Are you a US citizen?
  • (If Yes then please skip to Section 3)

If you are Not a US citizen please answer the following:
  • Are you a Permanent Resident (possess a Green Card/Permanent Resident Card)?

  • Note: Permanent Resident Card must be presented for in-state or out-of-state tuition rate.

  • What is your current VISA status?

  • Do you need a F or M Student VISA?

  • What is the country of your citizenship?

  • What is the country of your birth?

Section 3 - Residency Information:
  • Have you lived in the state of Georgia for the last 12 consecutive months?

  • Did your parent or guardian claim you on their most recent tax return?

  • Does your parent or guardian live in...

  • If your parent/guardian lives in Georgia, have they lived in Georgia the last 12 consecutive months or more?