Student Registration Request
Note: Items marked with asterisk (*) are required
First Name
*
Last Name
*
SGSC ID
*
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Phone Number
*
(Numbers only)
Student E-Mail Address
*
Personal E-Mail Address
What is your preferred method of contact?
*
Please Select...
Phone
Student Email
Personal Email
When is the best time to contact you?
*
Please Select...
Morning
Noon
Afternoon
Evening
Have you already been advised?
*
Please Select...
Yes
No
What location do you typically attend?
*
Please Select...
Douglas
Waycross
Valdosta
Online/eCore only
Are you a Dual Enrollment Student?
*
Please Select...
Yes
No
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