Fillable Appointment Consent Form (Georgia Northwestern Technical College)

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Appointment Consent Form (Georgia Northwestern Technical College)

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Appointment Consent Form
l, am allowing
to sit in on my
appointment. I understand that my academic progress, history and grades, as well as financial aid
information could be discussed during my visit. By giving consent, I understand that said person will hear
sensitive information and will not hold Georgia Northwestern Technical College liable for violation of
confidentiality.
Student ID# or Social Security#
Student Signature
Date
Return this form in one of the following ways: Email to the Registrar’s Office, Fax to 706-295-6944 or 706-764-
3707, deliver/mail to a Student Help Center listed below. Call 866-983-4682 if you have questions or need
assistance.
• Catoosa County; 6450 Alabama Highway; Ringgold, GA 30736
• Floyd County; One Maurice Culberson Drive; Rome, GA 30161
• Gordon County; 1151 Highway 53 Spur SW; Calhoun, GA 30701
• Polk County; 466 Brock Road; Rockmart, GA 30153
• Walker County; 265 Bicentennial Trail; Rock Spring, GA 30739
• Whitfield Murray Campus; 2310 Maddox Chapel Road; Dalton, GA 30721
Georgia Northwestern Technical College is a Unit of the Technical College System of Georgia and an Equal
Opportunity
Educational Institution.
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Appointment Consent Form (Georgia Northwestern Technical College)

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Completed 3 February 2021

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