Registrar’s Office Forms
06/08/2020
Enrollment Verification Request Form
Name_______________________________ Student ID ________________ Date of Birth_____________
Semester you wish to be verified
________________________________
Please Select:
By typing my name below, I understand and agree that this
form of electronic signature has the same legal force
and effect as a manual signature.
__________
_______________________________ _________________
Student Signature Date
To submit this form:
Email: registrar@newriver.edu
Fax: 304-929-6719
Mail: Registrars Office 280 University Drive, Beaver, WV 25813
Last, First MI
This form authorizes college officials to confirm your enrollment (hours enrolled, full-time/part-time
status, semester start and end dates) for a semester. If you need verification of your entire academic career
you will need to request a transcript. Verifications will be processed for paid students only.
Requests are normally processed within 5 business days. Requests for upcoming semesters will
be processed after the add/drop period ends.
Mail to: __________________________________________
__________________________________________________
__________________________________________________
Fax to: (______) ______ - ____________
Attention: _______________________
Send to my New River CTC email