Revised: 07/02/2013
Letter Request Form
Office of Student Services
100 N. Tucker Blvd.
St. Louis, MO 63101-1930
(314) 977-3312 (Phone) (314) 977-2030 (Fax)
Name: Banner ID #:
Address Letter to:
(Name of Person and/or Institution)
PURPOSE OF LETTER:
Student Loan Deferment
Insurance
Employment
Transfer to Another School
Transient Status - Visit Another School (Approval Needed)
Summer School Elsewhere (Approval Needed)
Other (Specify):
INFORMATION TO BE INCLUDED IN LETTER:
Verification of Full-time Status (12 Hrs. Required to Be Considered Full Time)
Statement That Student is in Good Standing
Anticipated Graduation Date of:
Other (Specify):
ENCLOSURES TO BE SENT WITH LETTER:
Copy of Current Percentile Table for Class Of
Other (Specify):
MAILING INSTRUCTIONS
Pick up in Student Services; Please provide e-mail/phone # for notification when document is ready:
Mail to:
PLEASE ALLOW AT LEAST TWO BUSINESS DAYS FOR PROCESSING.
If faster processing is needed, please indicate date needed and we will attempt to accommodate your request.
NEEDED BY:
Student Signature Date
Please return completed form to Monica Kimbrell in the Student Services Office, or e-mail to mkimbrel@slu.edu
STUDENT SERVICES OFFICE USE ONLY
Date Done: Done By:
Comments: