ENROLLMENT VERIFICATION

Please fill out, print, sign, and mail or fax this form with a copy of your driver license to:
San Antonio College Admissions and Records, FAC 216, 1300 San Pedro, San Antonio, TX 78212.  Fax number (210) 486-1543

Personal Information

Last Name First MI   
 
Former name SSN Date of Birth  
 
Address City State Zip code
Email address

Verification
Status: Part time 3/4 time Full time Term Estimated date of graduation
Remarks        
           
Signature:  _______________________________________________________
 
Name    
Address    
   
   
   

Last updated 4/16/09