Letter Request Form - Sit Graduate Institute
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1Office of the Registrar
SIT Graduate Institute
Phone: (802) 258-3582
Fax: (802) 258-3470
E-mail: registrar@sit.edu
Letter Request Form
Step 1: Print the form.
Please
Note.
Step 2: Completely fill out the form and sign it. Failure
to comply will result in delays.
You must sign the form. Third-party requests are not
Step 3: Fax to (802) 258-3470 or mail to:
accepted without a valid Power of Attorney. Letters
Office of the Registrar, SIT
may be faxed.
P.O. Box 676, Brattleboro, VT 05302-0676
______________________________________
Current Name:
While Enrolled:
_____________________________________
Last Name)
(First Name)
(MI
(
)
(Last Name)
(First Name)
(MI)
Address:____________________________________________
:________________________________________
Street
Apt. #
Date of Birth
month / day /year)
(
___________________________________________________
____________________________
Social Security # (Optional)
___________________________________________________
E-mail
: ____________________________________________
City
State
Zip
__________________________________
Home Telephone #:
Yes
No
Is This Address Permanent?
__________________________________
Program Attended:
If not please provide dates of validity:
-
Dates/Semester Attended
: _____________________________
month / day / year)
(month / day / year)
(
Reason for Letter Request:
Enrollment Verification
Semesters to be verified:
______________________________________________
Anticipated date of graduation (if applicable):
_______________________________
Completion of Program
___________________________________________________
Date of graduation:
Other
________________________________________________________________________________
(please explain)
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Please send letter(s) to:
___________________________________________________
_____________________________________________________
Name of Business/School or Person
Name of Business/School or Person
___________________________________________________
_____________________________________________________
Address Line 1
Address Line 1
___________________________________________________
_____________________________________________________
Address Line 2
Address Line 2
___________________________________________________
_____________________________________________________
City
State
Zip
Country
City
State
Zip
Country
Fax Number:
Fax Number:
_________________________________________________________________
____________________________________________________________________
Number of copies per address: ____________
Please include additional addresses on a separate sheet of paper. You do not
need to complete another form.
Signature (required):
____________________________________________________________
Date:
______________________
Office Use Only
ID #:
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