Revised: 10/2014
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.
Student Name
Course Title/Section Number
Never
Attended
Not on
Roster
Registrar’s
Action
Instructor Signature ____________________________________________ Date _________________
For use by Registrar Only
The Registrar has taken the appropriate action for these students.
Registrar Signature ______________________________________ Date __________________
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