Enrollment/Degree Verification Request Form
Do not complete this form if you are a third-party, no action will be taken. Third-party companies should request enrollment certifications or degree verification through the National Student Clearing House (www.studentclearinghouse.org).
Reynolds Student ID Number
Date of Birth
Full Name
Former Name (if applicable)
VCCS email account. *You will have to log into your VCCS email account to verify your identity and digital signature after you submit the form.
Phone Number
Do you have a form for us to complete? (if yes, please upload the form using the "File Upload" option below.)
Yes
No
Do you want your current enrollment verified (this term only) or your entire enrollment?
Current Enrollment Only
Entire Enrollment
Do you want to have your grade point average included as part of your verification?
Yes
No
Please provide the email address or full physical address where you want your document sent.
Provide any additional instructions below, if needed.
File Upload
Acknowledgement
By signing below, I affirm I am the person whose name and identifying information I have entered on this form. I am aware that the provision of false information on this form is punishable to the fullest extent of the law. NOTE: Please include full name.
reCAPTCHA helps prevent automated form spam.
The submit button will be disabled until you complete the CAPTCHA.
Contact Information