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Information Request Form

The personal brochure service will be available soon. Please complete the form below and we will mail information about Southwestern to you. Thank you.

Complete and submit this form On-line or print this form and fax to: (229) 931-2983
or mail it to:
GSW - Admissions Office
800 Wheatley St.
Americus, GA 31709
Please complete the following information: * Indicates a required field.

 
First Name: *
Last Name: *
Address: *
 
City: *
State: *
Zip Code: *
Country:
Phone:
Email:*
Student type:
Current or Last School Attended:
High School Graduation date:
Term you would like to begin at GSW: of
Please rate your level of interest in GSW:
How did you hear about GSW (Check all that apply):
TV/Radio Ads Parents
High School Counselor Friends
Representative from GSW Received mail
Other
Please enter request below:

 

 

Georgia Southwestern State University, 800 Wheatley Street, Americus, GA 31709