Fillable ENROLLMENT CERTIFICATION REQUEST (Oklahoma State University)

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ENROLLMENT CERTIFICATION REQUEST (Oklahoma State University)

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Enrollment certification letters are ocial verification from the University of your enrollment status at Oklahoma State University. These
letters can assist in verifying your enrollment status to insurance companies, lenders or other agencies. A standard enrollment certification
letter includes the student’s name, destination address, OSU FICE code and a summary of the student’s enrollment history for the term(s)
requested. Other information that can be provided upon request includes the student’s cumulative graduation/retention GPA, semester GPA
and good academic standing. Enrollment certification requests will be fulfilled within approximately two business days.
Name of Records Holder (last, first, middle) PLEASE PRINT
Student ID College
Number of Copies Semesters to include (ex., Fall 2011) Note: Only semesters of OSU enrollment can be included.
Mail to: (First class, Regular U.S. Postal Service)
Name
Address Line 1
Address Line 2
City State Zip Code
Or email address to:
OPTIONAL ENROLLMENT CERTIFICATION LETTER DETAILS (check all that apply)
Good Academic Standing Cumulative Graduation/Retention GPA
Semester GPA Online Course(s)
Degrees Awarded from OSU Blended/Hybrid (see below)
See Attached Form Expected Graduation Term (see registrar.okstate.edu/certifications)
Other (please specify)
Please note: For Blended/Hybrid verification, the following must be completed by the instructor of record before submitting to the Oce of the
Registrar for processing. One form required per course verification request.
As the instructor of record or department head responsible for this course, I verify the following percentages of face-to-face vs. online instruction:
Course Prefix and Number: CRN: Semester:
Percentage of face-to-face instruction:
Percentage of web-based instruction:
Total = 100%
Instructor or Department Head Signature: Date:
Student Signature Contact Phone Number Date
For Oce Use Only
Received By: Date:
12/1/2021
ENROLLMENT CERTIFICATION REQUEST
OFFICE OF THE REGISTRAR
322 Student Union
Stillwater, Oklahoma 74078-1013
405-744-6876 | O
certifications@okstate.edu
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ENROLLMENT CERTIFICATION REQUEST (Oklahoma State University)

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Completed 30 March 2022

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