School Enrollment Verification Form

[Pages:1]School Enrollment Verification Form

Borrower Instructions: If you wish to defer your payments while you are enrolled in school at least half time, complete Section 1 of this form. Take the form to the school Registrar's office for completion of Section 2. Once the school has completed Section 2, please send the completed form, with your deferment application, using one of the following methods:

Mail: Discover Student Loans Customer Service PO Box 30948 Salt Lake City, UT 84130-0948

Secure Document Upload: upload (login required) Fax: 1-224-813-5210

Section 1. To Be Completed By Borrower

I am enrolled as a continuous (at least half-time) student at

(School Name)

Please read: Please call us at 1-800-STUDENT if your loan application was received before 03/31/2012 and you have CitiAssist Loan(s) that was purchased by Discover, you may qualify for In-School deferment if you are enrolled less than half time.

My anticipated graduation date is

/

/

MM

DD

YYYY

Borrower's Information First Name

Borrower's Street Address

MI

Last Name

City

Last 4 of SSN

Phone Number

-

-

State

Zip

Signature

Date

/

/

MM

DD

YYYY

Section 2. Authorized Official's Certification (Please print or type)

I certify, to the best of my knowledge and belief that the borrower named above is/was enrolled as at least a half-time student as indicated in Section 1.

The school may attach its own enrollment certification report listing the required information in lieu of completing this section.

The borrower: 1. Is/was enrolled at least half-time during the academic period:

from

/

/

MM

DD

YYYY

/

/

to

MM

DD

YYYY

2. Is reasonably expected to complete his/her program requirements on:

/

/

MM

DD

YYYY

School Name

Street Address

School Code

City Signature of Authorized Official Name/Title of Authorized Official

State

Zip

Phone Number

-

-

Date

/

/

MM

DD

YYYY

SL.ENROLL.FRM.1017

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download