Application Verification Form

To be eligible to enroll in courses through the Project lead the Way (PLTW) “Special Student

Application for Undergraduate Credit Non-Degree Program” sponsored by the University of South

Carolina, College of Engineering and Computing a student’s academic background must indicate that

he or she will be successful in college-level courses. The University has established the following

requirements for admission.

A cumulative high-school average of “B” (3.0 on the South Carolina unified grading scale) or higher; OR

A College Board (SAT) math and verbal total score of 1100 or higher, an American College Testing

Program (ACT) composite score of 24 or higher, or a College Board (PSAT) total score of 110 or higher.

To verify this student’s eligibility, please complete the form below and return it to the student’s Project

Lead The Way (PLTW) course teacher to be included with the student’s application for admission.

Please complete both GPA and test score sections below. Students must meet either the GPA OR test

score requirement to be eligible to enroll. (If the student has SAT or ACT scores, PSAT scores are not

required.)

Student’s full name _________________________________________________________________

Student’s Social Security Number

Student’s high school ________________________________________________________________

This student has a cumulative grade-point average of _______* on the South Carolina unified grading scale.

This average is computed by using the academic record beginning with grade ______ and ending with the

____ semester of grade ________.

* Project Lead the Way students: If a high school GPA is not available, please supply the final 8th grade GPA

This student has the following college-entrance examination score(s)

PSAT

verbal score ___________

mathematics score __________

date taken ______________

SAT

verbal score ___________

mathematics score __________

date taken ______________

verbal score ___________

mathematics score __________

date taken ______________

ACT

English _______ mathematics _______ reading _______ science _______ composite _______

Date taken _______________

English _______ mathematics _______ reading _______ science _______ composite _______

Date taken _______________

Counselor’s signature _____________________________________________________ date ___________

Telephone number _________________________________________

(area code + telephone number)

Email address ___________________________________________________________________________

Application Verification Form - Sc Pltw