Penn State Office of the University Registrar

Enrollment Verification Form

Please fill out this online form, print (using "Print Form" button at bottom of page), sign and:
Return to:
Verification Department
112 Shields Building
University Park, PA 16802-1271
Fax 814-863-1929

Third-Party Verifiers are unable to use this request form.
Please visit the National Student Clearinghouse website to make a verification request.

(mm/dd/yyyy)

The following information will be verified:
Name; Enrollment Status; Date(s) of attendance (past, current, future); Major(s); Degree(s) Conferred; Current Enrolled Degree(s); Expected Completion Date of Academic Program; Student ID.

Note: The enrollment verification reports all completed or in progress degree programs.


Mailing Options:

Please choose one of the following delivery methods: (Payment only required for Federal Express delivery)

Address where enrollment verification is to be mailed:

Please review your entries on this form. If all of the information is entered correctly, please print (using "Print Form" button at bottom), sign and submit the form to the address at the top.

Requestor Signature: _____________________________________ Date: ___________________

Note: We do not include Social Security numbers on the verification.
*Returned checks due to insufficient funds will result in a service charge of $25.00.

Revised 8/29/16