Juniata College
Office of the Registrar
Enrollment Verification Form
Name:
ID #:
Date:
Class:	SR   JR   SO   FR
JC Box#:
College Phone#:
Degree Date:
Verification for selected term (enter the year) Fall   Spring
Additional information if required:
Check and complete the following information:
Send To:
Fax #:     Attention:
Pick up
Date Needed: