Enrollment/Degree Verification Form
This form is used to request official verification of a student's enrollment status or degree completion at California Miramar University. Students may use this form to confirm their active enrollment, anticipated graduation date, or degree conferral for purposes such as employment, visa processing, insurance, scholarships, or other official needs.
Name
*
First Name
Last Name
Student ID
Date of Birth
*
-
Month
-
Day
Year
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Select Type of Verification
*
Please Select
Enrollment Verification
Degree Verification
Anticipated Graduation Date
Full-Time/Part-Time Status
Start and End Dates
GPA
Name of Person/Organization Requesting Verification
*
Recipient Email
*
example@example.com
Purpose of Verification
(e.g., employment, insurance, scholarship, etc.)
By submitting this form, I authorize California Miramar University to release my enrollment and/or degree information as requested. I certify that the information provided is accurate to the best of my knowledge. I understand that this request may be denied or delayed if any required information is missing, and that processing may take up to 5 business days. I also acknowledge that my information will only be shared with the recipient(s) I have identified on this form, in accordance with FERPA regulations.
*
I agree
Submit
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