OFFICE OF THE REGISTRAR
Attendance Verification Form
This form is to be used at the end of two weeks for official census information.
Instructor Name _______________________________ Term/Year ___________________
Please record all students for your classes who have never attended and students who are in your class but not
on your roster.
Course Title/Section Number
Instructor Signature ____________________________________________ Date _________________
For use by Registrar Only
The Registrar has taken the appropriate action for these students.
Registrar Signature ______________________________________ Date __________________