Enrollment Verification Request

Walla Walla University
Academic Records Office
(509) 527-2811
Email: recstu@wallawalla.edu

Student Name*

First Name

Initial (optional)

Last Name

WWU ID

Requestor Name*

First Name

Last Name

Requestor Email*

Requestor Contact Phone*

Please verify enrollment for*

Current Term Enrollment History

GPA - I give my permission to release my GPA information and realize my privacy may not be maintained.

Yes No

For students requesting their own information to be sent

GPA Signature Option*

Typed Mouse/Finger

Typed Student Signature*

First Name

Initial (optional)

Last Name

By typing in your name and clicking on the "Submit" button below, you are providing electronic consent to use your electronic signature and agree that all information you are providing to Walla Walla University on this document is true, complete and correct to the best of your knowledge.

Student Signature*

[clear]

Use your mouse or finger to draw your signature above

Please select one of the following methods*

Pick up Email Mail

I would like to pick this up on*

Please email this verification to*

Confirm Please email this verification to *

Please mail this verification to*

Attention

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Special Instructions

NOTE: WE CAN ONLY VERIFY ENROLLMENT FOR QUARTERS IN WHICH STUDENTS REGISTERED FOR CLASSES.