Georgia College & State University--Verification Letter Request

NOTE: 

GCSU certifies for current and past terms only

Requests will NOT be processed for:

        Terms that have not yet begun

        Terms that you have registered for in advance

Certification Requests for  future terms should be submitted after the drop/add and registration period.

Name __________________________________________ Date__________

Street________________________________________ Birthdate _________

City/State/Zip Code_____________________________________________

Social Security __________________________ Phone # ________________

To Whom the letter is to be addressed:
___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

Please indicate the reason certification information is required:

( ) Health Insurance                             ( ) Good Student Discount for Car Insurance

OR

Please indicate what information is needed:

( ) Current Enrollment _________/_____ term/yr

( ) Past Enrollment                                           

( ) Other/Comments____________________________________________________________

_____________________________________________________________________________

Student's signature ________________________________________

Mail or fax this request to:
Georgia College & State University
Office of the Registrar
CBX 069
Milledgeville, GA 31061
Fax (478) 445-1914