enrollment for current semester, program
start and graduation date, and address.
All Students must provide the following information:
Last Name First Name RU ID Number
Email address Today’s Date
Male Graduate
Female Undergraduate
Driver’s License
Do you have a social security number? Yes No
(Please note that driver’s license letters will be mailed to the address you provide below)
Bank Letter
PLEASE CONFIRM CURRENT ADDRESS:
STREET ADDRESS:
APARTMENT NUMBER:
CITY: STATE: ZIP CODE:
I understand the following:
1. that the letter I am requesting may contain personal information including my legal status.
2. that if I do not pick up my letter in a timely manner, I cannot request the same letter again.
3. that if I give incorrect information it will take an additional 5 business days to receive an updated letter.
4. that my letter request will be denied if I do not provide all the requested information.
5. that I must send a written request to OIP for anyone other than myself to pick up my letter
Do Not Write Below This Space Comments for OIP Staff ONLY!
______ Request Completed on
______ Requested More Info on
______ Cannot Complete Request (reason):
OIP Comments:
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