3rd Party Education Verification Request
Education Verification is a vital step in supporting our current and former students in their quest for continuing education, employment, military service and other life activities. Third parties requesting information about a current or former student may need to attach or email a release form signed by the student to "
registrar@metrotech.edu
" in order for the Office of Registrar to complete the request, depending on the information requested.
Please complete form below or email your official verification request to "
registrar@metrotech.edu
".
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* Required
Email
*
Your email
Student Name (first, mi, last)
*
Please enter the student nave exactly as it appeared while the student was enrolled at Metro Technology Centers
Your answer
Student Date of Birth
*
Please enter the student date of birth (mm/dd/year)
MM
/
DD
/
YYYY
Student Last 4 of SSN
*
Your answer
Education Program/Course Inquiring
*
Your answer
Education Date(s)
*
Your answer
Purpose of request
*
Choose
Education
Employment
Licensing/Certification
Internship/Work-base Learning
Military
Scholarship
Other
Please indicate what information needs to be verified
*
Start / End Date:
Career Major/Program:
Degree/Diploma/Certificate Earned:
Other:
Required
Name of Requestor
*
Person requesting this information.
Your answer
Telephone Number
*
Requestor's Callback Number.
Your answer
Please Verify Email Address
*
Requestor's Email Address.
Your answer
Company Name
*
Company for which the requestor is employed.
Your answer
Organization or Entity Represented
*
Organization or Entity for which the information is being requested.
Your answer
Other Contact and Reference Information
Please enter any additional contact or reference information you would like to include.
Your answer
Education Verification Destination
*
Please identify where the education verification should be sent. Please indicate if the form should be emailed, faxed or mailed and please include the email address, fax number , or physical address of the destination.
Your answer
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