Academic Record Verification Request
Submit your request to verify academic records. Please provide accurate information to ensure timely processing.
Your Full Name
*
First Name
Last Name
Your Organization or Institution Name
*
Your Email Address
*
example@example.com
Your Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Student's Full Name (as it appears on records)
*
First Name
Last Name
Student's Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Student ID or Enrollment Number (if available)
Academic Institution Name
*
Type of Academic Record to Verify
*
Degree Certificate
Transcript
Enrollment Verification
Graduation Date
Other
Purpose of Verification
*
Please Select
Employment
Further Education
Immigration
Professional Licensing
Other
Preferred Method to Receive Verification Results
*
Email
Mail
Pick-up in Person
Upload Supporting Documents (e.g., authorization letter, ID, etc.)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Additional Comments or Special Instructions
Student's Signature
*
Submit Verification Request
Submit Verification Request
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