Verification of Enrollment

Enrollment verification forms are used to verify student status for insurance companies, military IDs, etc. 

The form includes the student's full name, date of birth, social security number, last term attended, academic standing, full-time or part-time enrollment (as of the date of request), and the beginning and ending date of the semester.  (If you are needing specific academic and / or course information, you should submit a transcript request instead.)

To order an enrollment verification form, please complete the following questions and click the "send" button at the bottom of the form.

Name:
Student ID or SSN:
Date of birth:
Telephone:
E-mail Address:
Verification for which semester?
Verification should be sent to: (Include complete name and address or fax number)