Fillable Enrollment-verification

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Enrollment-verification

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File type: PDF

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BROWSE GREEN RIVER COMMUNITY COLLEGE FORMS

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ENROLLMENT SERVICES
ENROLLMENT VERIFICATION REQUEST
Quarter and year to be verified:
SID: Phone:
Student’s name:
Last First M.I.
Signature: Date:
INSTRUCTIONS
Official enrollment verifications are processed beginning the first day of the quarter. Official verifications are done only
for current and past quarters. Future quarters will be processed beginning the first day of the quarter requested.
If you are providing a form to be verified by the college, be sure your portion of the form has been completed.
If not, the form will be returned to you for the required information and will delay processing.
If you are not providing a form, please provide sufficient information for proper verification.
General requirements are provided for your information:
❑ Car Insurance - -- Good Student Discount - -- Currently enrolled full-time (12+ credits)
with previous grading period GPA of 3.0+ to qualify.
❑ Health/Dental Insurance - -- Currently enrolled full-time (12+ credits)
❑ Employment Security - -- Will be mailed or available after 2 p.m. the next business day
❑ Deferment - -- Processed by National Student Clearinghouse
❑ Scholarships - -- Currently enrolled full-time (12+ credits), GPA may vary per scholarship
❑ Other - -- Describe:
DELIVERY METHOD
Please indicate how you would like to receive your verification. Select one.
❑ Will pick up on:
❑ Mail to:
Address
City State Zip
**Please allow 2 business days for processing**
ES1508EnrollmentVerification
1 of 1
This document is available in alternative formats to individuals with disabilities by contacting Disability Support Services at 253-833-9111, ext. 2631; TTY 253-288-3359; or by email at dss@greenriver.edu.
Green River College is an equal opportunity educator and employer. Learn more at www.greenriver.edu/accessibility.
OFFICE
USE
ONL
Y
Date: Processed by:
greenriver.edu/enrollment • (253) 833-9111 Ext. 2500 • 12401 SE 320th St., Auburn, WA 98092
enrollmentservices@greenriver.edu • fax (253) 288-3454
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Enrollment-verification

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Completed 7 December 2019

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