Office of the Registrar
Request for Verification of Good Academic Standing or Enrollment
Student Name (Please Print): ________________________________________________________________________
Student Signature: ________________________________________________________________________________
Student I.D. Number: ____________________________Student E-Mail Address: ______________________________
(DO NOT USE SOCIAL SECURITY NUMBER)
Date of Birth: __________________________________
1. Date: _________________ Current term: ________________ Expected graduation date: ___________
2. Daytime Phone Number: __________________________________________
(**MANDATORY)
3. Letter of Good Standing or Enrollment Verification is intended for the following institution:
____________________________________________________________________________________
(Please list name of school)
4. Please indicate if any other type of information needed: ☐Classification ☐Major ☐GPA
YOU MAY CHOOSE TO:
Hand-deliver a completed copy of this verification request to: Registrar’s Office, Administration Building, Room 122.
Your verification letter will be ready to pick up after
3 to 5 business days.
We will call the number given above when it is ready.
Any verification which has not been picked up within two weeks of notification will be mailed to the student’s
permanent address on record with the college.
Mail a completed copy of this request form to: Hopkinsville Community College, Admissions & Records
PO BOX 2100, Hopkinsville, KY 42241-2100.
Please allow time for mail to be received plus two business days before picking up completed letter.
Or upon your request (see below) we will mail the letter of academic standing for you (no envelope required).
Fax a completed copy of this verification request to: 270-886-0237.
DO YOU WANT TO PICK UP LETTER – OR HAVE US MAIL IT?
☐
PICK UP: I will pick up verification letter at Registrar’s Office.
☐
MAIL: Please mail verification letter to person or institution at address indicated below:
Hopkinsville Community College is an equal educational and employment opportunity institution.
Revised 06/23/14
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