Enrollment Verification Request Form - Lim College

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Registrar’s Office│545 Fifth Ave, 7th fl. New York, NY 10017│Phone:212.752.1530
ext.404│Fax:212.750.3475│registrar@limcollege.edu
Enrollment Verification Request
Instructions: Please PRINT. Fill out the information below and submit to the Registrar’s Office.
• Please keep in mind that LIM College cannot verify active enrollment in a semester/term until the
first day of the semester/term being verified.
•
Enrollment verifications contain the student’s name on file, the degree program that you are in, current
semester/term start and end dates and student status at LIM College (part-time or full-time). If you
need additional information included in your enrollment verification letter, please write it in the special
notes section of this form.
• All Enrollment Verifications are completed within 5-10 business days. Additional time may be
required for processing during registration periods.
Date ___________________
Name
Last
First
Middle
Student ID Number _____________________________
Telephone Number (______)_____________________
Home/Cell Phone
Select a delivery option for your enrollment verification and provide the appropriate information.
Pick Up: Photo
Mail: Use address
Mail: Use address
Fax
E-Mail: Sent as a secure PDF file
ID required.
on attached form
entered below
with a password based on the last 4 digits
of the student’s LIM College ID Number.
Include the FULL NAME & MAILING ADDRESS, FAX NUMBER or E-MAIL ADDRESS to which
the verification should be sent.
You are responsible for the accuracy of the information and
completeness of any forms included with this request. Forms that require your signature should also be
signed before submitting this request.
Special Notes:
If any additional information on your enrollment verification letter should be included, please write that information here.
By signing below you agree to allow LIM College to release your information to the above parties.
Your request will not be processed without a signature and date.
Student Signature__________________________________________
Date ___________________
Registrar’s Office Use Only
Date Processed ____________________
Processed by _______________________
Revised 5/18/2012

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