Verification of Enrollment Request

Name
First Name:
Middle Name:
Last Name:

TigerID (the 928 number):
enter again for verification

Telephone:
email address:

Include information for a Good Student discount?

Enrollment verifications containing information for a Good Student discount contain confidential information. We cannot, therefore, release Good Student information without your written signature.

If you selected Yes to this question, after clicking the Submit button, it will be necessary for you to print the confirmation sheet, sign it, and then fax, mail, or deliver it to:

    Registrar’s Office
    Engram Union Building
    100 West College Park Drive
    Douglas, GA 31533

Fax 912.260.4455

Select one:

I will pick up the verification letter (Please allow 24 hours for Processing).

Please fax verification letter to the following:
fax number:
ATTN:

Please mail verification letter to the following address:

Name:
Street 1:
Street 2:
City:
State:
ZIP: