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Oakton Community College OFFICE OF REGISTRATION AND RECORDS 1600 East Golf Road Des Plaines IL 60016 847-635-1700 7701 North Lincoln Avenue Skokie IL 60077 847-635-1400 ENROLLMENT VERIFICATION FORM Please print all information. One form per request. A letter will be issued only if a student s account is clear of outstanding balances. Oakton does not rank students. Will pick up letter Des Plaines Campus Ray Hartstein Campus Mail my letter when available. Complete attached form Special request for information on letter Send letter to Check here if mailing address same as above. City State/Zip Student authorization for release of enrollment verification Signature of Student Date If you wish to authorize another person to pick up your letter indicate their name below. A letter will be issued only if a student s account is clear of outstanding balances. Oakton does not rank students. Name Last First MI Maiden Address City State/Zip Banner I. D. B Phone Home Enrollment Verification Fall Spring Summer Work Year 20 Check the appropriate box. Will pick up letter Des Plaines Campus Ray Hartstein Campus Mail my letter when available. Complete attached form Special request for information on letter Send letter to Check here if mailing address same as above. Oakton Community College OFFICE OF REGISTRATION AND RECORDS 1600 East Golf Road Des Plaines IL 60016 847-635-1700 7701 North Lincoln Avenue Skokie IL 60077 847-635-1400 ENROLLMENT VERIFICATION FORM Please print all information* One form per request. A letter will be issued only if a student s account is clear of outstanding balances. Oakton does not rank students. Name Last First MI Maiden Address City State/Zip Banner I. D. B Phone Home Enrollment Verification Fall Spring Summer Work Year 20 Check the appropriate box. Will pick up letter Des Plaines Campus Ray Hartstein Campus Mail my letter when available. Complete attached form Special request for information on letter Send letter to Check here if mailing address same as above. City State/Zip Student authorization for release of enrollment verification Signature of Student Date If you wish to authorize another person to pick up your letter indicate their name below. You and other authorized persons must bring personal identification i*e* driver s license state I. D. in order to pick up the enrollment verification* Relationship Signature of person authorized for pickup. A letter will be issued only if a student s account is clear of outstanding balances. Oakton does not rank students. Name Last First MI Maiden Address City State/Zip Banner I. D. B Phone Home Enrollment Verification Fall Spring Summer Work Year 20 Check the appropriate box. Name Last First MI Maiden Address City State/Zip Banner I. D. B Phone Home Enrollment Verification Fall Spring Summer Work Year 20 Check the appropriate box. Will pick up letter Des Plaines Campus Ray Hartstein Campus Mail my letter when available. Complete attached form Special request for information on letter Send letter to Check here if mailing address same as above.

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