Student Name:

Email:

Student ID:

Phone:

Current address:

Please send my verification to:

Fax:

Please Verify the following:

Term Year:

Fall

Spring

Summer

Term Year:

Fall

Spring

Summer

Other

Processing will normally be completed within two working days; however, service may be slower during rush periods

420 West Main Street

Danville, VA 24541

Phone: (434)791-5600 Fax: (434)791-7181

Enrollment Verification

Email:

Registration: (Letter shows the number of hours taken, term dates, and full/part time status)

Pre-Registrations (Letter shows the number of hours you are pre-registered for, term dates,

and full/part time status)

Student Signature: Date: