This form is provided for KSU students who wish to print and submit a form to the Office of the Registrar. When completed, you may fax the form to (770) 423-6541, mail it to 1000 Chastain Road, Box #0116, Attn: Office of the Registrar, Kennesaw, Georgia, 30144-5591; or, bring it to the Office of the Registrar during normal operating hours.

KENNESAW STATE UNIVERSITY
ENROLLMENT VERIFICATION REQUEST
FOR ____________________ TERM

A verification request takes 3 - 5 working days to process. Verification requests for a future term are held and processed after Late Registration and Drop/Add has ended for that term AND all fees have been paid in full.
Name:


 KSU #:
Please send a letter verifying the following information (check the one that applies):
Good Standing _____
(Car Insurance)
 Insurance _____
(Health)
 Loan ______

Jury Duty______

  1. Enrollment Status
  2. Classification
  3. GPA
  4. Credit Hours
  5. Term Dates
  6. Term GPA
  7. Enrollment History
  1. Enrollment Status
  2. Classification
  3. Expected Graduation Date
  4. Enrollment History
  1. Enrollment Status
  2. Classification
  3. Expected Graduation Date
  4. Pending Degree
  5. Enrollment History
  1. Enrollment Status

Immunization Verification Only __________
   (If immunization is for UGA, Medical College of Georgia, or Georgia State University check here __________)
Telephone Number:
Home: _________________________

Work: _________________________
 Verification Letter Should be:
   (check one)
Picked Up By Student __________
Mailed to Address Below _________
Faxed ($10 service fee for faxing) _________
If verification letter is to be mailed, print clearly the name and address of the institution or person that you wish to receive verification letter.








Student's Signature:


 Date: