Enrollment Verification Form
Please know that processing may take 1-3 business days for non enrolled students. Enrollment Requests for current students will be processed after the official census date for the requested term.
Student Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Student ID
LoLA Number
Email
*
Requesting Semester
Fall
Spring
Summer
Requesting Year
example: 2023
Verification Request Type
*
Non-enrollment Letter
External Document Completion (Upload document below)
Current Enrollment Status
Never attended or enrolled at RPCC
Letter of Completion
Other
Enter Program
*
VERIFICATION RELEASE
Select Delivery Method
Please Select
Email
Fax
I will pickup with valid picture ID
I give permission to the authorized person below to pick up with valid state ID
Email
example@example.com
Fax Number
Please enter a valid phone number.
Authorized Person (Full Name)
Pick-up Location
Please Select
Gonzales Campus
Reserve Campus
St. Charles Campus
Westside Campus
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Signature
Submit Request
Should be Empty: