REQUEST INFORMATION:
Verification(s) will NOT be processed if you have:
1. Unpaid financial obligations to the College.
2. Incomplete records: high school transcript, transcript from other colleges/institutions, immunization records, etc.
3. Failed to register with the Selective Service.
4. Other obligations to the college: library fees, equipment, SSS materials, etc.
Processing:
Please allow 48 hours to process the request. The process could exceed 48 hours during peak times (ex: registration, graduation, final grades, and college
holidays). Note: An incomplete request will not be processed.
PERSONAL INFORMATION: PLEASE TYPE OR PRINT LEGIBLY.
Student ID Number or Social Security Number
Fullname
Contact Phone Number
Address
City
State
Zip Code
Processing Information: Requests to Alternate Addresses must be made on separate forms.
I am requesting an: (NO CHARGE)
q Enrollment Verification Letter
OR
q Letter of Good Standing
OR
q Degree Verification (Official College Transcript)
Send to:
q I will pick up on: ________________________________________________________________________________________
q Fax to:
Name: ___________________________________________________________________________________________
Fax #: ____________________________________________________________________________________________
q
Mail to:
Name: ___________________________________________ Attn: ________________________________________
Address: __________________________________________________________________________________________
City, State, Zip: ____________________________________________________________________________________
Signature
Date
Blytheville, AR
Statehouse Hall
(870) 838-2955
ENROLLMENT, GOOD STANDING,
OR DEGREE VERIFICATION
REQUEST FORM
Options to Submit Request Form:
Print and sign the
completed transcript request form and then:
1. Fax to: (870) 763-1654
2. Mail to: Arkansas Northeastern College
Attn: Transcripts
P.O. Box 1109
Blytheville, AR 72316
3. Deliver to: Registrar’s Office in
Statehouse Hall
Office Use:
Date Received: _______________________________________________ Staff Initials: _________________________________________
Date Completed: _____________________________________________ Staff Initials: _________________________________________
Rev. 7-15-2015
Electronic Enrollment/Degree Option*:
Arkansas Northeastern College has authorized the National
Student Clearinghouse to provide electronic enrollment
and degree verifications by visiting www.degreeverify.org.
*Note:
Fee Applies