Enrollment Verification Request

Use this form to request an e-mailed PDF of your enrollment verification.
Full Name(Required)
Please provide 2 of the following data points to confirm your identity (separated by a semi-colon): Student ID Number; Date of Birth; Student E-Mail Address; Last 4 digits of your SSN.
E-mail address to which the verification should be sent.
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.