Prairie View A&M University
Office of the Registrar
P.O. Box 519: MS 1002
Prairie View, Texas 77446-0519
936-261-1000 phone/ 936-261-1051 fax
Must provide a COMPLETE MAILING ADDRESS to be processed. If Pick-Up is needed ,
please write “Pick-Up” under the address.
Date ___________________________
ENROLLMENT VERIFICATION
To Whom It May Concern:
The Office of the Registrar has been instructed to submit information pertaining to the
following student’s enrollment. Therefore, please note the necessary information as
reflected in our records. If additional information is required, please submit a written
request. All requests must be in writing.
Identification Number/ Social Security No. Date of Birth (DOB)
Additional Information to be noted (such as group # or ID for the policy holder):
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Classification Anticipated Degree and Graduation Date Full-Time Half Time
Dates of Attendance Major
Last Name First Name Initial
PLEASE TYPE ALL INFORMATION.
You may use your TAB key to navigate the fields, or click in the field for typing.
