REQUEST FOR ENROLLMENT VERIFICATION FORM

Request a letter of verification: You can request a letter of verification by submitting the electronic form below.

Request to process verification forms from loan, insurance and medical agencies: Simply fill out your part of the their form and bring it to the Registrar's Office (334 Green Hall) or mail it to: Wellesley College, Office of the Registrar, 106 Central St., Wellesley, MA 02481.

Certification of your enrollment is only for the semester(s) for which you are actually registered in courses, not for future semesters. Please keep this in mind when you fill out the dates of enrollment.

*Required Fields
DATE:* STUDENT ID:* CLASS YEAR: * (Anticipated degree date)

NAME:* First Middle Last

EMAIL:* PRIMARY PHONE: CELL PHONE:


INFORMATION TO BE VERIFIED (check all that apply):
Current semester

All semesters of previous year(s)

Anticipated degree date
Degree certification
Degree requirements complete

Other
 For insurance, provide subscriber's name and ID number:    

DESTINATION: Please allow 2-3 business days for processing
FAX TO #: ATTN:

I WISH TO PICK UP MY VERIFICATION IN THE REGISTRAR'S OFFICE

MAIL TO:
Name:
Address:

City: State: Zip Code:
Country:        







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Email: regoffice@wellesley.edu
Registrar's Office: July 27, 2006
Last Modified: July 27, 2006

Expires: Jan 1, 2010
Maintained by: C. Voorhees