Verification of Degrees or Enrollment

* Indicates that a field is required.

The Registrar's Office will verify the degrees received by a student for purposes of employment or continued educational studies.

We will also verify enrollment for insurance, employment, etc., purposes.

Information on students prior to 1974 (1973 and earlier) must be accompanied by a written release from the student. This release may be faxed to the Registrar's Office at 518-786-5060.

*Note: If you have a confidentiality hold on your account we will not process your request by email. You must fax or mail us a request with a signature!

Please fill out the following form as completely as possible.

* = required field

Name when you were a student

Name *

First

Last

Birthdate *

YYYY

Select your current student status: *

If Inactive or Graduate what month and year were you last at Siena?

What information would you like sent? *

How would you like the information sent? *

Mail

Both

Please send requested information to

Recipient's Name

Name *

First

Last

Recipient's Email Address

Recipients Address *

Street Address

Street Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Reason for request

If Other enter reason here:

Insurance

If your reason is 'Insurance' and you would like us to send the information to your insurance company, enter membership information:

Policy Holder's Name

Name

First

Last

Member/ID number

Your Contact Information

(in case we have questions)

Email Address *

Phone Number

###

####