EnrollmentVerificationRequest

- Portsmouth Continuing Education Salem Continuing Education Concord Continuing Education(Anticipated Graduation Date SEND VERIFICATION TO THE

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Office of the Registrar Enrollment Verification Request form If you need an official verification that you are currently enrolled as a student as Hesser College, please complete the information requested below. ___________________________________ ______________________ _____ _________________________________ LAST NAME while attending Hesser FIRST NAME M.I. CURRENT LAST NAME SOCIAL SECURITY NUMBER: ________ - _______ - ___________ DATE OF BIRTH: _________________________ CURRENT ADDRESS: _________________________________________ STUDENT ID#: _________________________ _________________________________________ TELEPHONE #: (Day) ____________________ _________________________________________ (Eve) ____________________ PLEASE CHECK WHICH LOCATION(S) YOU ATTENDED: Manchester Day Division _______ Manchester Continuing Education _______ Nashua Continuing Education _______
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Unformatted text preview: Portsmouth Continuing Education _______ Salem Continuing Education _______ Concord Continuing Education _______ (Anticipated) Graduation Date______________________ SEND VERIFICATION TO THE FOLLOWING ADDRESS ADDITIONAL INFORMATION (Honors, GPA, etc) _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ Please forward your request to the REGISTRAR’S OFFICE at the Manchester location __________________________________________________________________________________________ STUDENT SIGNATURE DATE Enrollment verification requests are processed in approximately 3 - 5 business days. Rev 8/01...
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This note was uploaded on 10/24/2011 for the course UNIV 2201 taught by Professor Staff during the Fall '08 term at University of Georgia Athens.

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