EmailMe Form - ENROLLMENT CERTIFICATION/VERIFICATION REQUEST

ENROLLMENT CERTIFICATION/VERIFICATION REQUEST

The National Student Clearinghouse has been retained as the University's agent for certifying/verifying enrollment. Please use the steps below to obtain an enrollment certification/verification. Updated enrollment information is routinely provided to the Clearinghouse and should be available by the 10th of every month during the semester.

1. Access the Clearinghouse by logging in to myHaven; select National Student Clearinghouse on the left side; read the screen and proceed as instructed
2. Select "Obtain an enrollment certificate"
3. Print the document that appears on the screen and provide to the requestor for enrollment verification.

In limited instances, the enrollment information may not be available from the Clearinghouse when needed or additional information is needed. If certification/verification is still required from the University, use the form below.

Student Information
Student's Name *
First Last
Any Other Last Name
LHU Student ID#
Birthdate *
MM / DD / YYYY
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Home Phone *
### - ### - ####
Cell Phone
### - ### - ####
Enrollment Information
Currently Enrolled at Lock Haven University?
Semester/Session for which enrollment is being certified/verified?
Year of semester/session for which enrollment is being certified/verified?
Enter year as 4-digits, i.e. 2019
Send Enrollment Certification/Verification Information:
How would you like the certification/verification to be sent?
Depending on delivery option selected, additional information will display below.
US Postal Mail Information
Name (Individual or Business) *
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Fax Information
Name (Individual or Business) *
Fax Number to Send Certification/Verification
### - ### - ####
Email Information
Name (Individual or Business) *
Email address to Send Certification/Verification
Attach Additional Documentation
If additional documentation is to be provided with your certification/verification, please attach it here.
Electronic Signature *
By typing your name in the electronic signature box, you are certifying that the information on this form is true and correct. Your typed name in the signature box further authorizes Lock Haven University to process this request and serves as the official release required under the Family Educational Rights & Privacy Act.