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Confirmation of Enrolment Request Form

This form must be filled in and returned to the Registrar’s office. Should you require confirmation of enrollment for the National Student Loans Service Center, please contact the Finance Office for a “Schedule 2 Form” as this is a separate document required for student loans.

Student’s Name:_________________________________ ID #___________________ Program of Study: ________________________________________________________ Mailing Address: _________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Date of Request: _____________________ Phone Number:_______________________ For which academic year:  2010-2011  2009-2010  Other: ____________ Delivery options:  Student mailbox: ____________  Fax - Fax number: ______________________ Attention: ___________________  Mail - Mailing Address: ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ Number of Copies Required: (circle one): 1

2 3

4

Student Signature: ___________________________________ Date: ________________ Please allow up to five business days for processing.

Office Use Only Date Mailed: ____________________________ Date Faxed: ____________________________ Request Completed By: ________________________________________


Confirmation of enrollment request