Please submit the online form below.  If you prefer, you can print and return the PDF copy of the form (PDF).

I authorize EGSC to release my information to the following: (Student is responsible for providing complete and accurate information)

Please indicate Document Needed:*
Instructions*
Privacy Statement*
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: https://www.usg.edu/policies. Anyone suspecting his or her sensitive personal data has been exposed to unauthorized access, report your suspicion to privacy@ega.edu. Otherwise, questions concerning GDPR can be forwarded to privacy@ega.edu. Checking the associated box and submission of this form provides consent to and acknowledgement of the EGSC Data Security and Privacy Policy.