Mailing List and Information Request

TAKE THE FIRST STEP

Complete this form to begin your journey to success
with East Georgia State College!

I am a

No need to complete this form! Just contact our admissions team at admissions@ega.edu or (478) 289-2169 for assistance or to learn more about EGSC.

Parent/Guardian Information

Relationship to Student

Other

First Name

Last Name

Email Address

Mobile Phone

Student Information

First Name

Middle Name

Last Name

Birthdate

If you want to know more about a program, choose it from the list.

What term would you like to start classes?

Select to receive information about any of the following.
If you have a specific question, select other to let us know.

What would you like to know about EGSC?

Contact Information

Email Address

Mobile Phone

Do you agree to receive text messages sent by East Georgia State College (EGSC)?*
By selecting, “Yes" below, you authorize EGSC to send messages to the mobile phone number provided above. Message frequency varies. Message and data rates may apply. To opt-out, reply STOP.
Read full terms and Privacy Policy here.

Yes

No

Mailing Address

Country

Street

City

Region

Postal Code

School Information

Current or Most Recent High School or College Name

If you were home schooled, please enter 9A1045 as your institution.
For a GED, please enter NNNNNN as your institution.

Type of School

Graduation Date (if applicable)

Privacy Acknowledgement

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.

Privacy Acknowledgement

By checking this box I acknowledge I have read and understand the privacy statement above.

Mailing List and Information Request

TAKE THE FIRST STEP

Complete this form to begin your journey to success with East Georgia State College!

Complete this form to begin your journey to success
with East Georgia State College!