V E G S

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CLAREMONT MCKENNA COLLEGE
OFFICE OF THE REGISTRAR
VERIFICATION OF ENROLLMENT OR GOOD STANDING REQUEST
Full Legal Name:
CMC ID Number:
Signature:
Today’s Date:
This request is for:
FA
SP
Circle One
SU
Number of Copies Needed:
Year
Date Needed By:
Delivery Options:
Student Pick-up:
Requested Pick-up Date
Send to Student Mailbox:
Fax to:
Box #
Fax #
To the Attention of
Email to:
Mail to:
Purpose of Verification:
(check all that apply)
Health Insurance
Car Insurance
Jury Duty
Juror Badge Number:
Summons Date:
Postponement Date:
Begin & End Dates:
Internship
Newly admitted student
Other:
Special Instructions:
(check all that apply)
Revised 10/2013
Include previous semester GPA
Include cumulative GPA
Include credits completed
Complete and/or include attached form(s)
Include address while at CMC
Other:
Return this completed form to the Registrar’s Office
Tel: (909) 621-8101 Email: registrar@cmc.edu Fax: (909) 607-6015
www.claremontmckenna.edu
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