Enrollment Verification Request-易胜博app

Enrollment Verification

An enrollment verification document can be used whenever enrollment verification of student status is required for scholarship purposes, medical coverage, loan deferments, jury duty, car insurance, etc. Fill out the online form below. If you prefer, you can print and return the paper copy of the form (PDF).

Please don't fill out this input box.

Student Name*

Student ID #*

Email*

Street Address*

City*

State*

Zip Code*

Phone Number*

Secondary Phone Number

Last Term Attended*

Please indicate verification request needed*

Enrollment Verification (Current Semester)

Letter of Non-attendance

Letter of Pre-registration (Prior to Semester Start)

Where would you like this Verification sent?*Please put in an email address, fax number or physical address including city, state and zip code.

Check here if you are currently attending*

Yes

Privacy Statement*

Privacy Acknowledge

All personal data and special categories of sensitive personal data collected or processed by East Georgia State College must comply with the EGSC Cybersecurity Plan, as authorized by the Board of Regents Policy Manual Section 10.4 Cybersecurity: http://www.usg.edu/policies. Anyone suspecting his or her sensitive personal data has been exposed to unauthorized access, report your suspicion to privacy@electronic-fittings.com. Otherwise, questions concerning GDPR can be forwarded to privacy@electronic-fittings.com. Checking the associated box and submission of this form provides consent to and acknowledgement of the EGSC Data Security and Privacy Policy.

Enrollment Verification

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