Verification of Degree Status

Personal Data

Name

�鶹��ý ID

Last 4 digits of your SSN

Local/Permanent Address

Street

City

State

Zip

Verification Details

Verification of Degree Earned (provide date of graduation)

Graduation Date

Verification of Degree Requirement (provide anticipated date of graduation)

Anticipated Graduation Date

Delivery Details

Verification Letter is to be

Mailed

Emailed

Picked Up (must be picked up in 3 business days - if not must request again)

Complete Mailing Address

please provide complete postal address if selected mail

Phone

Email Address

please provide an email address if you prefer to receive verification by email