Enrollment Verification Form

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 NameLast Name
Date of Birth*

MonthDayYear
Date
Student ID
LoLA Number
Email*
Requesting Semester

FallSpringSummer
Requesting Year
example: 2023
Verification Request Type*

Non-enrollment LetterExternal Document Completion (Upload document below)Current Enrollment StatusNever attended or enrolled at RPCCLetter of CompletionOther
Enter Program *
VERIFICATION RELEASE
Select Delivery Method
Email
example@example.com
Fax Number
Please enter a valid phone number.
Authorized Person (Full Name)
Pick-up Location
File Upload

Cancelof
Signature

Clear
River Parishes Community College does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs and activities. **To contact individuals designated to handle inquiries regarding non-discrimination policies, click here.
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