OFFICE OF THE REGISTRAR ASSUMPTION COLLEGE

500 Salisbury Street Worcester, MA 01609-1296

ENROLLMENT VERIFICATION REQUEST

STUDENT’S NAME:________________________________________________________________________

(PLEASE PRINT)

ID #: _____________________CLASS OF:___________CAMPUS BOX NO:__________

SEMESTER TO VERIFY: ___________________

DEADLINE: _______________________________

SEND TO:

_________________________________________________________________________________________

NAME

__________________________________________________________________________

STREET

_______________________________________________________________________________________________________________

CITY STATE ZIP CODE

ENROLLMENT VERIFICATION IS DONE BY THE SEMESTER ONLY.

NO VERIFICATION WILL BE DONE FOR A SEMESTER FOR WHICH YOU HAVE NOT YET REGISTERED.

PLEASE RETURN THE COMPLETED FORM TO THE REGISTRAR’S OFFICE