Office of the Registrar
DuBourg Hall, Room 22
One Grand Boulevard
Saint Louis, MO 63103
Phone: (314) 977 2269
Fax: (314) 977 3447
E-Mail registrar@slu.edu
Statement of Good Academic Standing
Please Print Clearly or Enter Fields Electronically to Ensure Accurate Entry
Student Information
Name:
Student ID Number:
Social Security Number
Signature:
__ __ __ __ __ __ __ __ __
X X X - X X - __ __ __ __
Located below the Picture on your Student ID
Required for receiving institution processing
Last Name, First Name
This form certifies that the above named student’s academic record on the basis of grades at Saint Louis
University through the end of the Fall Spring Summer semester / term, 20 ___ ___ is in good
academic standing and is eligible for future enrollment at Saint Louis University.
Official Seal of the
University Registrar
Signature
Date
Questions regarding this verification of good standing can be directed to the Office of the University Registrar
Contact information is detailed in the upper right of this form.