PAINE COLLEGE OFFICE OF THE REGISTRAR
VERIFICATION OF ENROLLMENT REQUEST
PLEASE PRINT:
STUDENT NAME
ID#
SSN#
LOCAL/PERMANENT ADDRESS
Phone
CLASSIFICIATION:
ANTICIPATED GRADUATION DATE
VERIFICATION LETTER IS TO BE (Please check one)
MAILED
FAXED
# I WILL PICK UP
# Requests designated for pick up that are not picked up after three(3) business days from the date the request was submitted will be destroyed and a new request will have to be submitted.
THIS LETTER SHOULD BE MAILED TO
THIS LETTER SHOULD BE FAXED TO
FAX Number:
THIS LETTER WILL BE PICKED UP BY:
VERIFICATION REQUIRED FOR:
CURRENT SEMESTER
PRIOR ENROLLMENT
OTHER
(if OTHER is checked please specify what information is needed)
DATE OF REQUEST:
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