Registrar's Office - Request for Certification

Request for Certification
Student Name*

First NameLast Name
Student E-mail*
example@example.com
Phone Number*
Please enter a valid phone number
Date of Birth*
Student Division*
Are you an alumni?

Alumni
Graduation Year
Name at time of attendance
If different from above
Certification*

Bar CertificationGood StandingLetter of GraduationLoan DefermentOther (Please explain)
State(s) for Bar certification*
Special Instructions
Delivery Method*

Pick-upMailFax
Fax Number*
Please enter a valid fax number
Mail-to Name*

First NameLast Name
Mail-to Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Signature*

Clear
Today's Date*

MonthDayYear
Please note: Certifications take 2-3 business days to process. Processing time may be extended up to 7 business days during periods of heavy volume, such as exams and graduation.
Should be Empty: