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Verification of Degree Status Request

 If you have any questions regarding this form, please email Records@Newberry.edu or call the Office of the Registrar at 803.321.5124.

 
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Student Name:

 

Student ID#:

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Enter Last Four Digits of SSN#:

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Local/Permanent Address: 

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Phone: 

 

Email Address: 

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Verification Required For:


 

If Verification is for Degree Earned, indicate graduation month: 

 

If Verification is for Degree Earned, indicate graduation year: 

 

If Verification is for Completion of Degree Requirements (prior to graduation), indicate anticipated graduation month:

 

If Verification is for Completion of Degree Requirements (prior to graduation), indicate anticipated graduation year:

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Personal Identifiable Information Requested on Verification Letter:



 

If Other:

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Verification Letter is to be: (please check one)



 

This letter should be mailed to:

 

This letter should be faxed to:

 

FAX Number:

** Requests designated for pick up that are not picked up after three (3) business days from the date the request was submitted will be destroyed and a new request will have to be submitted.

 

This letter will be picked up by: (Identification will be required)

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Date of Request: