Enrollment Verification Request

Enrollment Verification Request

Records Office | 309.341.5260
What is the difference between an enrollment verification and a transcript request?
- An enrollment verification includes the terms you attended Sandburg, the number of credit hours completed, in-progress, or upcoming, but will NOT include final grades, GPA, or honors or degrees earned.
- A transcript will include final grades for all courses, enrollment information by term, semester and cumulative GPA, honors received, and certificates and degrees earned.
- If you need a transcript, please use this form: https://sandburg.jotform.com/210205709834856
When do I need an enrollment verification?
- You might need an enrollment verification for several reasons, including securing insurance, deferring student loans, scholarships, grants, or jury duty, for example.
Your Name*

First NameLast Name
Your Previous Name (if applicable)

First NameLast Name
Your Email*
example@example.com
Your Phone Number*
Please enter a valid phone number.
Your Date of Birth*

MonthDayYear
Date
Your Sandburg Student ID # or Last 4 digits of Social Security #*
Sandburg ID# (ex: 0123456) or Last 4 of SS# (ex: 1234)
Please add any notes here that you'd like us to know.
Please select how your enrollment verification will be delivered.*

EmailMail
Recipient Email*
example@example.com
Recipient Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If you have a third-party form or document, that pertains to this request, please upload it here.

Cancelof
Pemission to release enrollment verification

By submitting this request, I am granting permission for Carl Sandburg College to release my enrollment information to the recipient indicated.
Signature

Clear
Today's Date

MonthDayYear
Date
Should be Empty: