Enrollment Verification

Check One
- Enrollment Verification
- Letter of Good Academic Standing
- Graduation Verification
- Other (Please Specify)
PLEASE NOTE: To provide quality services, all information MUST be completed. Please allow one (1) business day for certification to be processed.
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Date
MM slash DD slash YYYY
SSN
Expected Graduation Date
Delivery Method
- Pickup
- Mail
- Fax
Send Verification to
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Fax Number
Consent*
By checking this box I consent that information on this form is accurate and may be used by Rust College