Enrollment or Degree Verification Request Form

Enrollment or Degree Verification Request Form
Date*

MonthDayYear
Student ID*
Name*

First NameMiddle or Maiden Last Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Service Requested

Please state the purpose of this request and the type of information that should be included in the letter. This may included dates of attendance, enrollment status, anticipated graduation date, etc. Please specify if the information requested is for current and/or previous semesters. Enter information in the box below.
Are attachments required?

Yes. If Yes, upload additional files below before submitting.No
If attachments are to be included with your Enrollment or Degree Verification, upload here.

Browse Files

Cancelof
Recipient Information
Organization or Company*
Attention to:

First NameLast Name
Address*

Organization

Street Address

CityState / Province

Postal / Zip Code
Fax Number (if blank, letter will be mailed)

Area CodeFax Number
Student signature is required for processing.

Please allow 3-5 business days to complete your request.
Student Signature*

Clear
Letters will not be sent without student signature
Should be Empty: