Records Release Request

CURRENT STUDENTS - Please log in to the myEGSC Portal and fill out the Document (Record) Release Form.
This form is located on the left side of the page under Student Forms, then Registrar's Office Forms.

Not a current East Georgia State College student? Please fill out the form below.

Please don't fill out this input box.

Student Name*

Student ID #*

Street Address*

City*

State*

Zip*

Phone*

Email*

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

Name of Institution*

Attention

Street Address*

City/State/Zip*

Fax #

Institution Email, if applicable

Please indicate Document Needed:*

High School Transcript

Immunization Records

Entrance Scores (SAT, ACT, Accuplacer or Compass)

Unofficial College Transcript (Prior Institution)

Instructions*

Mail

Fax

Pick up (Swainsboro campus Only)

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: 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.

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