New Jersey’s Public Liberal Arts College
Revised: 03/13/2013
Office of the Registrar
505 Ramapo Valley Road, Mahwah, NJ 07430-1680
Phone (201) 684-7695 Fax (201) 684-7956
www.ramapo.edu
Verification Request
Please print, complete and mail or fax this form to the Registrar's Office.
UsethisformonlyifyouareUNABLEtoverifyyourenrollmentthroughtheNationalStudent
Clearinghouse.VisitWebforStudentsforadditionalinformationonprintingenrollm entverifications
fromtheNationalStudentClearinghouse.
StudentName:_______________________________Date:_______________
StudentRamapoID#:R ______________________________
Telephone#whereyoucanbereachedregardingthisrequest:_________________
StudentStatus:____Fulltime____HalfTime____PartTime
SemestertoVerify:________________________________
Sendto:(Note:WeonlysendverificationsDIRECTLYtothecompany)
____Company
____Insuran
c
e‐Insured'sName:_______________________________________
____Insured'sID#_________________________________________
____Scholarship
____Other____________________________
DIRECTmailingaddressofCompany: DIRECTfaxnumberofCompany:
_____________________________________________________________
_______________________________________
_______________________________________
_______________________________________
SpecialInstructions:
_____________________________________________________________________
______________________________________________________________________
PleaseNote:Iunderstandallverificationswillbemailedorfaxedtothereques ting
agency.Inaddition
tobeingmail
ed
byRCNJ,faxedverificationsmaybereceivedinanunsecuredarea,thereforethecollege
isnotresponsibleforlackofdocumentconfidentiality.
Signature:______________________________________________________
click to sign
signature
click to edit
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