Verification Request Form - Florida Agricultural & Mechanical

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Florida A&M University
College of Law
Verification Request & Letter of Good Standing
TERM:
FALL
SPRING
SUMMER
Last Name:
First Name:
Student ID Number:
Phone Number:
Letters should include:
Would you like us to:
DEFERMENT FORM
PICK-UP
CURRENT ENROLLMENT STATUS
FAX LETTER TO: ______________
DATES OF ATTENDANCE
MAIL LETTER TO:
ANTICIPATED DATE OF GRADUATION
RANK
GPA
NAME: ____________________________________________________
ADDRESS: __________________________________________________
CITY: ____________________ ST: _______ ZIP CODE: ______________
The certification will be reported in accordance with the academic records as of the date prepared.
I authorize Florida A&M University to release the information indicated above.
Please ALLOW A MINIMUM OF 3-5 WORKING DAYS FOR PROCESSING
Students Signature:
FA10COL
Date:
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