Enrollment Verification Form
Registrar Office - Ph: 361-698-1248 Fax: 361-698-1857 E-mail: reginfo@delmar.edu
Last First Middle
Student ID:
Date of Birth:
Phone Number:
Email Address: Term(s)
*Please Note: Photo Id required for pick up. Enrollment Verification forms not picked up by the close of
business on the day following the call for pickup will be mailed to the address on the form
Student Signature: Date:
Reason for Request:
3/8/2018 OES