Enrollment/Degree Verification Form Enrollment - Degree... · PDF file Enrollment/Degree...

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  • Enrollment/Degree Verification Form

    Student Service Center ● 550 Huntington Avenue ● Boston, Massachusetts 02115-5998 Tel (617) 989-4020 ● Fax (617) 989-4201 ● Email [email protected]

    F 6/14/18

    Verification letters for students enrolled 1985 or later take 2-3 business days to process. Letters for students enrolled prior to 1985 may take up to 5 business days. Please attach any required additional information or documentation (such as insurance forms or student loan deferrals) to this request.

    Please Print or Type all information clearly.

    Student’s Name: W#: Email:

    Date of Birth: Phone Number:

    Degree/Certificate Verification

    □ Hold for Degree Conferral Degree:

    □ Certificate □ AAS □ BS □ ME □ MS □ M.ARC Major: Graduation Date:

    Enrollment Verification

    I would like to Verify Enrollment for: **Check All That Apply**

    □ Current Semester □ Fall □ Spring □ Summer Year: 20 _________

    □ Past Enrollment □ Fall □ Spring □ Summer Year: 20 _________

    TO

    □ Fall □ Spring □ Summer Year: 20 _________

    □ Pick-Up □ Mail Name: Name/Company:

    Please bring a valid photo ID at the time of pick-up. Address:

    City:

    State: Zip:

    Country:

    □ E-mail □Fax E-mail Address: Fax Number:

    Attn: Attn:

    Student Signature: Date:

    Students Name: Email: Date of Birth: Phone Number: Major: Graduation Date: Current Semester: Off Spring: Off Summer: Off Spring_2: Off Summer_2: Off Past Enrollment: Off Spring_3: Off Summer_3: Off Name: NameCompany: Address: City: State: Zip: Country: Email Address: Fax Number: Attn: Attn_2: Certificate Checkbox: Off Hold for Degree Conferral Checkbox: Off AAS Checkbox: Off BS Checkbox: Off ME Checkbox: Off MS Checkbox: Off MARC Checkbox: Off W Number: Pick-Up Checkbox: Off Mail Checkbox: Off E-mail Checkbox: Off Fax Checkbox: Off Fall: Off Fall_2: Off Fall_3: Off Year: Year_2: Year_3: PRINT: