ENROLLMENT VERIFICATION REQUEST FORM
Please print. Requests can be submitted in person or emailed to registrar@goodwillno.org.
Student's Name
First Name
Last Name
Student ID#:
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Please verify the following:
Full-time Student
Part-time Student
Cumulative GPA
Academic Standing
Anticipated Graduation Date
No Longer Enrolled
Indicate the semester to be verified:
Fall
Spring
Summer
Indicate the Fall year to be verified:
Ex. 2024
Indicate the Spring year to be verified:
Ex. 2024
Indicate the Summer year to be verified:
Ex. 2024
If additional information is needed, please specify below:
How would you like to receive the enrollment verification letter?
I will pick the letter up
I would like the letter sent via postal mail
I would like the letter sent via email
Email Address
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your signature below authorizes the requested information to be released and is required to process this request.
Student Signature
Date
-
Month
-
Day
Year
Date
Preview PDF
Submit
Should be Empty: