STATE OF MICHIGAN - MACRAO

College/University Standard Enrollment Verification

This Michigan Association of Collegiate Registrars and Admissions Officers verification is designed to expedite the reporting of pertinent and timely academic record information. We appreciate your acceptance of this verification in lieu of completing a form that may have been provided.

TO BE COMPLETED BY THE STUDENT

Name______________________________ _______________________ _____________________
(last) (first) (middle or initial)

Soc. Sec. No. OR: ID Number

INFORMATION TO BE VERIFIED MUST BE ENTERED BY THE STUDENT BELOW

Semester or Term and year: to be verified:

Start Month-Year of the term End Month-year

Hours Currently Enrolled: Are they: __ Semester Hours __ Quarter Hours __Other:

Anticipated Date of Graduation: Month: Year:

Grade Point Average:

Additional Information to be verified:

SEND VERIFICATION TO:

Name or Office:

Address:

City : State: ZIP Code:

I authorize the institution l am enrolled in to release the information listed above.

________________________________________________ ____________________
(student signature) (date)

TO BE COMPLETED BY THE INSTITUTION
KEY TO ENROLLMENT STATUS

___ Full-time ___ At least Half-time ___ Less than Half-time ___ Not enrolled ___ No record found

Comments: _____________________________________________________________________________________

______________________________________________________________________________________________

THIS IS WHERE THE COLLEGE OR UNIVERSITY
PUTS THEIR NAME AND ADDRESS, PHONE
NUMBERS, E-MAIL FOR THE OFFICE, FICE CODE, ETC.

INSTITUTIONAL
SEAL
_____________________________________________
(signature line, name and title -Registrar?)

____________________________________________ __________________
(some Institutions put a completed by: line) (date)