Good Standing, Enrollment Verification, & Graduation Verification Requests

Date form was submitted*

Date

What type of assistance do you need?

Name*

Last NameFirst Name

UIW Identification Number*

Phone Number*

Please enter a valid phone number.

UIW Email Address*

Confirmation Email

Select UIWSOM Program*

DOMBSIncoming DO Learner

Select DO Classification*

OMS-IOMS-IIOMS-IIIOMS-IV

Type of Request*

Enrollment Verification OnlyGood Standing RequestGraduation VerificationSignature Request

Enrollment Verification verifies program start date, anticipated program end date, semester start/end dates, class meeting days, etc. (typically processed in 2-3 business days)

Good Standing Request verifies good standing and can include enrollment data (typically processed in 7 business days)

(OMS IV/Graduates only) Graduation Verification/Residency-Related Documents verifies graduation (anticipated or final graduation date) and can include good standing and enrollment data (processing time varies)

Reason for Good Standing Request*

Student OrgVSLONotify UIWSOM RepresentativeOther

Type of Student Org*

UIWSOM Student OrgNational Student OrgOther