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LAW REGISTRAR'S OFFICE STUDENT REQUEST FORM
 
Required fields are marked with an asterisk (*)
 

FIRST NAME:*

 MIDDLE INITIAL:

LAST NAME:*

    
ADDRESS LINE 1:*
ADDRESS LINE 2:

CITY:*

 STATE:*

ZIP:*

EMAIL:*

CLASS YEAR:*
 

PLEASE ALLOW 2-3 DAYS PROCESSING TIME

I hereby request the Registrar's Office to prepare a letter stating:*
  Certification of Enrollment
  My class rank and/or section rank
  My expected date of graduation
  Certification of Grades Received (List the courses for which you need certification)
  Other (Please specify below)
 
PLEASE INCLUDE ADDITIONAL INFORMATION HERE:
 
LAST FOUR DIGITS OF STUDENT ID:*
PHONE: (H):* (W):*
 
Please provide the complete name and address to whom the letter is to be addressed:
LETTERS CAN NOT BE ADDRESSED "To Whom it May Concern"
 
NAME:*   
ADDRESS LINE 1:*   
ADDRESS LINE 2:   
CITY:* STATE:* ZIP:*
 
THE LETTER IS TO BE:*
PICKED UP
MAILED
COPY TO HOME ADDRESS  
 
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