Request for Official Enrollment Verification
Enrollment verifications are generally handled through the National Student Clearing House
(www.degreeverify.org). However, if your verification requires a seal or additional information, please complete
this form and submit it by e-mail, mail, fax, or in person to the Registrars Office. All requests must include
student's handwritten signature.
Name: _________________________________________________________ Student ID: ____________________
Previous Name (if applicable): ________________________________________ Date of Birth: ___________________
E-mail: _________________________________________________________ Phone Number: _________________
Purpose for request:
Military Scholarships Insurance Purposes Other
Choose one of the following:
Mail: print address below Fax # (include Area Code) Pick Up
_____________________________ _____________________________
_____________________________ Name/Company to be sent to:
_____________________________ _____________________________
_____________________________
Verify Enrollment for CURRENT term only: (You MUST be registered for the term selected)
Spring __________ Fall __________ Summer __________
Please check one:
Full time (Undergraduate= 12.0 units or more/ Graduate= 8.0 units or more)
Half time (Undergraduate= 6.0 to 11.5 units/ Graduate= 4.0 to 7.5 units)
Less than Half time (Undergraduate= .5 to 5.5 units/ Graduate= .5 to 3.5 units)
Verify enrollment for previous term(s):
Verify enrollment for specific term(s). Please list these terms: __________________________________________
Verify enrollment for ALL previous terms.
Verify Term GPA Verify Degree Awarded
Verify Anticipated Graduation Term (Only if you have officially applied to graduate via the Application for Degree and Diploma form)
**Please Note: Any outstanding obligations to the University must be completed before request can be processed**
Student’s Signature _________________________________________________ Date ________________________
Administration Use Only-Records & Registration
Processed by: _________ PS Update: __________ Student Notification: __________
(Staff Initials) (Date) (Date) Revised 04/03/2019
Enrollment Management
Registrar’s Office
One University Drive
Camarillo, CA 93012
Phone: (805) 437-8500