Jacksonville University Registrar's Office
Request for Enrollment Verification

 

Please fill out the following information to be included in your verification letter:

Date: ____________

Name: ________________________________

Social Security Number: __________________ Student ID: ___________________

Semester to be verified: ________________________

Major: ______________ Degree: _______________

Status: ____Full-time ____Part-time

Anticipated Graduation Date: ______________

Current Cum. GPA (optional): _____Yes ____No

Previous Semester GPA (optional): ____Yes ____No

I request the Registrar's Office to verify the above information, which will be:
____picked up by me
____sent to:

____________________________________________

____________________________________________

____________________________________________

____________________________________________

Student's Signature: ____________________________ Date: _______________

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For office use only:
Information verified by: ________________________________
Entered into computer by: ______________________________
Date: ______________