Verification of Enrollment

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Office of the Registrar
800 GSW State University Drive
Americus, GA 31709
registrar@gsw.edu
Phone: 229-928-1331
Fax: 229-931-2021

Verification of Enrollment

Student ID #:

First Name:

Last Name:

Presently Enrolled?

Yes

First Enrollment Term:

Last Enrollment Term:

Period of Enrollment to be included in letter:

Please indicate how you would like your letter sent:

Please indicate where verification letter(s) should be sent. Enter complete name, address, email or fax number of where the letter should be sent. If verification is for insurance purposes, please provide name of policy holder.

Send verification letter(s) to the following:

Please allow 48 hours for verification to be processed.

Attach Documents:

Signature:

(First Name)

(Last Name)

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