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
Student ID# or Social Security#
Student Signature
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
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
Educational Institution.