Enrollment Verification Request

Use this form to request an e-mailed PDF of your enrollment verification.

Full Name(Required)

First Middle Last

Date of Birth(Required)

Last 4 of SSN(Required)

Year for Verification(Required)

Term for Verification(Required)

Email Address(Required)

E-mail address to which the verification should be sent.

Other Information to include:(Required)

The verification includes Name, ID#, Academic Term, Term Start Date, Term End Date, Enrollment Status, Hours Enrolled, Degree and Expected Graduation Date from Student Information Form. If you need additional information included (grades or course dates, etc.,) please specify here.

N/A

Grades

Course Dates

Degree Conferred

Other (Submit form and contact Academic Records)

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This field is for validation purposes and should be left unchanged.

Enrollment Verification Request

Are you ready to become a pastor, counselor, or church leader who is Trusted for Truth?