REQUEST FOR VERIFICATION OF STUDENT ENROLLMENT

(Allow a minimum of 10 working days for completion of the verification.)

Mail request to: Registrar's Office, Oberlin College, Oberlin, Ohio 44074 or

Fax request to: Registrar, Oberlin College (440-775-8800)

Please provide the following information when requesting a verification of student enrollment. Note that such verifications do not take the place of an official transcript for stating student grades but may be used, among other things, to inform insurance providers of full-time status, assist with student loan deferments, provide verification of eligibility for auto insurance good student discounts, assist with the obtainment of recent graduate auto loan discounts or student travel discounts for study abroad.

STUDENT NAME:___________________________________ S.S. or I.D. #_______________________________

INFORMATION NEEDED: (Check all that apply)

Full-time/Part time status for _____current semester _____past academic year _____next term

GPA for _____most recent semester _____cumulative (all terms combined)

Graduation information: _____expected graduation date _____actual graduation date

Degree information: _____expected degree _____actual degree received

Major(s) _____ Minor(s) _____ Graduation Honors _____

Student Classification (e.g. FR, SO, JR, SR, SP): _____

FOR HEALTH INSURANCE VERIFICATIONS PLEASE PROVIDE THE FOLLOWING:

Name of Person/Parent on Policy:__________________________________________________________

I.D. #___________________________________Group # _______________________________

Additional Information, if necessary:___________________________________________________

PLACE YOU WISH THE VERIFICATION TO BE SENT:

Name & Address:________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

or FAX to:

Name & Number: _______________________________________________________________

Your signature:___________________________________________Date:_________________