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Education Verification Form

This document is an education verification form requesting the applicant's name, social security number, date of birth, name and address of the college or university from which they received their highest degree, and their consent to have their education information verified. It also includes a section for the educational institution to confirm or correct the applicant's education details and a note to fax the completed form to the specified person.

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3K views1 page

Education Verification Form

This document is an education verification form requesting the applicant's name, social security number, date of birth, name and address of the college or university from which they received their highest degree, and their consent to have their education information verified. It also includes a section for the educational institution to confirm or correct the applicant's education details and a note to fax the completed form to the specified person.

Uploaded by

Secret Secret
Copyright
© © All Rights Reserved
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
  • Education Verification Form: This form is used for verifying educational credentials, including school details and consent for releasing education information.

Education Verification Form

Name:

Social Security Number:

Date of Birth:

Please list the college or university from which you received highest level of education.
Name of School Office of the Registrar Credits Earned Degree to be Obtained
Address

Release of Education Information Consent Form


I hereby authorize Melmark to contact the Institution listed on my application for
employment or Curriculum Vitae to verify my attendance and degree status.
Name: ____________________________ Date: _____________________
Signature: _________________________

***APPLICANT DO NOT WRITE BELOW THIS LINE***

To be completed by the University or College


Please check one of the following boxes:
I certify that the above information is correct.
The following information is incorrect. (Please note the correct information)
The following individual was not a student at our school.
Signature: ________________________ Date: ____________________
Title: ____________________________
Notes:

Please fax the completed form to Sarah Smith at 610-325-2920.

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