Verification Request, Office of Registrar

Requests for verification of Registration must be made in writing and bear the student's signature. Verification Request Forms are available in the Office of the Registrar, or you may print the form below. 

All requests should include the following identification information:

• Student's full name (including all names used while attending)
• Student's ID number or Social Security number
• Address of person, school or company verification is being sent to
• Student's signature

Verification Request Form

Please print and submit this form or include the following information when you send your own written request.

ID/SSN:	_______________________________
Date:	_______________________________
Phone:	_______________________________
Last Name:	_______________________________
First Name:	_______________________________
Maiden/Former Name:	_______________________________

Class Standing (Circle one) FR SO JR SR SOT GRAD

Signature ____________________________________

Please check ONLY those required on verification:

____ History of Enrollment
____ Social Security #
____ Expected Grad. Date: Month___ Year____ (State your estimation)
____ Class Standing
____ Academic Standing
____ Current GPA
____ Other ____________________________________

Address to which verification should be mailed:
______________________________________________
______________________________________________ ______________________________________________ ______________________________________________

Mail To:
Office of the Registrar
Anderson University
1100 East 5th Street
Anderson, IN 46012-3495
Fax To: (765) 641-3015