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Enrollment Verification Request

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

Name

First Middle Last

Verification of Identity(Required)

Please provide TWO of the following data points to confirm your identity: Student ID Number; Date of Birth; Student E-Mail Address; Last 4 digits of your SSN.

Year and Term for Verification (Calendar Year and Fall, Winter, Spring and/or Summer)(Required)

Email Address(Required)

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

Other Information to include:

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, please specify here.

Enrollment Verification Request