Enrollment Verification Request

Enrollment Verification Request

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

Full Name(Required)
MM slash DD slash YYYY
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.
This field is for validation purposes and should be left unchanged.

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