Enrollment/Degree Verification

Student ID Number
First Name*
Last Name*
Your Email*
Enrollment Status*
- Undergraduate
- Graduate
- Non-Matriculated / Alumni
Anticipated Graduation Date (Student) / Graduation Date (Non-Student)*
Delivery Option*
*if you chose e-mail we will send it to student e-mail address unless otherwise noted*
If Mailing, Please fill out fields.
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
If faxing, please fill out Fax Number
Special Instructions or other information to include on form?