Verification of Enrolment
222 St. Patrick Street Toronto, ON M5T 1V4
firstname.lastname@example.org │ 1 (416) 596-3117 or 1 (800) 387-9066
Verification of Enrolment 21-May-2020
Office Use Only
Verification of Enrolment letters are produced within three business days of payment being received. Students will be notified by email when the letter is ready for
pickup OR has been sent. Archival searches may be necessary and will require additional time to process.
Student records are confidential. Confirmation letters are only issued when requested through written authorization by the student. Note: Verification of
Enrolment letters will not be released to students who have financial holds on their records.
STUDENT ID: ______________________
NAME AND ADDRESS (Please Print Clearly)
Type of document submitted (CPP, RESP, etc.):
OSTAL CODE TELEPHONE EMAIL ADDRESS COUNTRY
Update my mailing address to the above:
Number of forms to be completed: ________ X $12.00 Each
Please select ONE of the following options: Pick Up Mail Out Courier (No PO Boxes)* Email (PDF)
*Courier charges: $10 in Canada, $25 in US, $50 International
MAILING ADDRESS (if different from above)
TOTAL AMOUNT: $
Cardholder Name (Please Print)
(in person only)
(personal cheques are not accepted)
AUTHORIZATION AND DECLARATION: I certify that the information contained herein and in the supporting documents is true, correct, and complete.
Student Signature: _______________________________________________________________
Processed By: _______________________________________________________________
The information on this form is collected under the authority of the Michener Institute of Education at UHN and will be protected and used in compliance with the Ontario
Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c. F.31. Student information held by the Michener Institute of Education at UHN may be used for
administrative and statistical purposes of the Institute and/or the ministries and agencies of the Government of Ontario and the Government of Canada.
rogram Name: _________________________________
cademic Year: 2019/2020 2020/2021
[ ] Tick this box if you would like to update the address on file with the address below.