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