To receive information about Georgia Southern University, customized to your personal and academic interests, please submit the following request form. By completing this form, you will receive a customized electronic brochure sent to your email address on the same day of submission, followed by a hardcopy paper brochure sent to your home address in 7 to 10 days. Paper brochures can only be mailed to U.S. addresses. ( Checked fields are required.)

First Name:
Middle Name:
Last Name:
Preferred Name:
Gender:
Address Line 1:
Address Line 2:
City: State: Zip:
E-mail Address:
Phone: Date of Birth: (mm/dd/yyyy)
Ethnicity:
Highest Degree Earned:
Current / Last College (no abbreviations please):
Admission Term:
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Residency:
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