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Baruch College/Cuny: Request For Certification of Attendance

This document is a request form for students at Baruch College/CUNY to request certification of their attendance. It requests the student's personal information such as name, date of birth, student ID number, address, and contact information. It also asks for the dates of attendance and what types of letters certifying attendance the student requires, such as proof of current enrollment, semesters enrolled, information for labor departments, or a graduation letter. The student must sign and date the form before it can be processed by the Office of the Registrar.

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86 views1 page

Baruch College/Cuny: Request For Certification of Attendance

This document is a request form for students at Baruch College/CUNY to request certification of their attendance. It requests the student's personal information such as name, date of birth, student ID number, address, and contact information. It also asks for the dates of attendance and what types of letters certifying attendance the student requires, such as proof of current enrollment, semesters enrolled, information for labor departments, or a graduation letter. The student must sign and date the form before it can be processed by the Office of the Registrar.

Uploaded by

jpbm25
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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BARUCH COLLEGE/CUNY

OFFICE OF THE REGISTRAR (646) 312-1150


Fax (646) 312-1151 or (646) 312-1269 www.baruch.cuny.edu/registrar

One Bernard Baruch Way/BoxH-0850, New York, NY 10010

Request For Certification of Attendance


Date of Birth: ____________________

STUDENT ID# _______ _____ _______


( ) Mr.

( ) Ms. _______________________________________________________________________________
Last

First

MI

Street Address: __________________________________________________________ Apt. No.: ______________


City: ________________________________________ State: ____________________ Zip: _________________
Telephone: Day (_______)________________________
Are you currently enrolled:

( ) Yes

( ) No

Evening (_____)__________________________

Dates of Attendance: _____________to_______________

Please check what letter(s) you are requesting:


( )

( )

( )

( )

Current Enrollment
Indicate Semester(s):

Includes your major, credits in progress, credits completed and semester start date.

____________________________________________________________

Semesters Enrolled

Includes semester(s) of enrollment, enrollment status and start and end dates for each
semester.

Indicate Semester(s):

____________________________________________________________

Labor Department

Includes start and end dates for current semester, course schedule, billable credits,
major, and admission semester. Used for unemployment purposes.

Indicate Semester(s):

____________________________________________________________

Graduation Letter

Includes the degree awarded, major and graduation date.

Do you like to reflect your expected graduation date in this letter? ( ) Yes
( ) No
If Yes, expected Graduation Date_______________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Do you want to pick up this letter?

( ) Yes

( ) No

Please send this certification to: (Indicate if it is yourself)


Name: ________________________________________________________________________________________
Address: ______________________________________________________________________________________
City: _______________________________ State: _____________________ Zip Code: ______________________

_______________________________
Student Signature (required)

9/15/2010 CS

______________________
Date

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