VERIFICATION REQUEST

Print Name _______________________________________________________________________________________

Last First Middle

GTID# or SSN _____________________________________________________

If SSN, last 4 digits ONLY

Phone Number ______________________ Birth Date _____/_____/________

Email Address ______________________________________________________

Currently Enrolled Yes No

TYPE OF VERIFICATION

Academic Standing ____ Number of Copies

Certification of Degree Check here to pick up verification in person (PHOTO ID REQUIRED)

Degree Pending Check here to receive verification by email

OR
Overall GPA
Mailing Address or Fax_______________________________________________

Pre-Registration Letter ________________________________________________________________

Rank ________________________________________________________________

Transient Letter Special Instructions: __________________________________________________

____________________________________________________________________
Enrollment Verification
____________________________________________________________________

Student Signature: _________________________________________________ Date: _______/_______/_________

Received by: _________________________________________________ Date: _______/_______/_________

Office of the Registrar, Atlanta, GA 30332-0315

comments@registrar.gatech.edu, Fax 404-894-0167