Dlda Statement Of Class Attendance Form - Financial Aid And Scholarships printable pdf download

Dlda Statement Of Class Attendance Form - Financial Aid And Scholarships

DLDA STATEMENT OF CLASS ATTENDANCE FORM: Summer 2015

Financial Aid Office

201 South 1460 East, Room 105

Salt Lake City, Utah, 84112-9055 (801) 581-6211; FAX (801) 585-6350

STUDENT NAME:

STUDENT ID:

Title of Course/ Course # _____________________________/____________________________________

Note to the Instructor: Verification of this student's attendance in your class is required to be in accordance with Federal

Regulations. Verification may be by means of a class roll, an assignment, a test, or your memory of the student's attendance.

Please indicate the latest date they engaged in any academic-related activity in the course by completing the area below:

Please respond with the latest of:

1. Date the student attended your course:______________________

2. Date the student turned in coursework for the course:______________________

3. Date the student participated in an activity related to the course:___________________

Did not Attend

Instructor's Name:______________________________ Title: _________________________

Phone #:__________

Instructor's Signature: _______________________________ Date: __________