SBUBolivar, Missouri Est. 1878

Office of the Registrar

Enrollment Verification

Required FieldRequired Field

Required FieldFirst Name

Required FieldMiddle Initial

Required FieldLast Name

Required FieldEmail

Required FieldPhone Number


The Term You Wish To Verify Enrollment (Check One)

J-Term Spring Summer Fall      Year

Where Do You Want the Verification Sent?

Required FieldComplete Name

Required FieldAddress 1

Address 2

Required FieldCity

Required FieldState

Required FieldZip Code

Required FieldFax Number
(area code) + number

Additional Comments

This form will serve as an official Loan Verification request when received by the Office of the Registrar. The Electronic Post Date will be used as the official receipt date.