Registrar's Office - Enrollment Verification

Student Name *

First Name Last Name

E-mail *

Date of Birth *

Student Division *

Alumni should select the Alumni option

Graduation Year *

Verify Enrollment for the following term(s) *

Fall Spring Summer

Year *

All standard enrollment verification forms issued by this office include the student’s current semester enrollment status, expected graduation date for current program of study, college, degree, and terms attended. If additional information is required, please specify below.

Request Type *

Full time enrollment status Part time enrollment status Academic Standing Grade Point Average

Delivery Option *

Mail Fax Pick-up

Name *

First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Fax Number *

Area Code Phone Number

Pick up Date *

Month Day Year

Student Signature *

Clear

Today's Date *

Month Day Year

IMPORTANT NOTICE REGARDING PENNSYLVANIA HIGHER EDUCATION ASSISTANCE AGENCY(PHEAA) GRANTS: Students requiring certification of their attendance in connection with a PHEAA Grant must obtain the verification from the Financial Aid Office.