Please TYPE in your information and click SUBMIT at the bottom or PRINT this page and return to the Registrar's Office.

Name: 

Student ID:              

Phone:    Email:  

Address: 

Semesters to be verified:

The following information will be included in your enrollment verification:

• Name

• Student ID Number

• Major and Degree

• Current enrollment status (full time, half time, less than half time)

• The dates of terms/semesters you requested above.

• Graduation date or anticipated graduation date.

Please include any other information the verification should include:
   Example - for Insurance coverage policy holder and policy number.

Fax my verification to: