Education Verification Request

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Education Verification Request

This is used to verify your student status for insurance, scholarships, job applications, or other entities in need of verifying your education. To read our full FERPA policy, click here.

First Name

Last Name

Student ID Number OR Last 4 of SSN

Email Address

Date of Birth

When did you begin taking courses with MBI? (Month/Year)

When did you last take a course with MBI? (Month/Year)

Purpose of request ADMISSION TO ANOTHER SCHOOL EMPLOYMENT LICENSING/CERTIFICATION SCHOLARSHIP INTERNSHIP MILITARY PERSONAL OTHER

Please indicate what information needs to be verified Enrollment status - current semester Enrollment status - upcoming semester Expected graduation date GPA

Is there any other information you would like us to verify? Please be as specific as possible:

If you have other paperwork or third-party documentation that our office needs to complete, please upload it here:

Please provide an address, email, or fax number to which you would like us to send this information:

Signature: By typing your name below, you certify that you are the student about whom you are requesting information and that you authorize such a disclosure according to the Authorization for Release of Non-Directory Student Information. To proceed and submit this request, you must type your full name below.

Signature