Student Guarantor Opt-Out Form

Name(Required)

First Last

Student ID(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Personal Email Address(Required)

Semester of Payment Extension(Required)

Program of Study(Required)

Opt Out

I DO NOT want to participate in the Student Guarantor Program

As set forth in full in the Student Handbook/Course Catalog, Southern Crescent Technical College is an Equal Opportunity Institution and does not discriminate on the basis of race, color, national origin, sex, age or disability.

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A unit of the Technical College System of Georgia

A unit of the
Technical College System of Georgia