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Student Name:
Email:
Student ID:
Phone:
Current address:
Please send my verification to:
Fax:
Please Verify the following:
Term Year:
Fall
Spring
Summer
Term Year:
Fall
Spring
Summer
Other
Processing will normally be completed within two working days; however, service may be slower during rush periods
420 West Main Street
Danville, VA 24541
Phone: (434)791-5600 Fax: (434)791-7181
Enrollment Verification
Email:
Registration: (Letter shows the number of hours taken, term dates, and full/part time status)
Pre-Registrations (Letter shows the number of hours you are pre-registered for, term dates,
and full/part time status)
Student Signature: Date: