Enrollment Certification Form

Dates of enrollment you would like the Office of the Registrar to certify
Contact Information
Current Address
Certification Information

Please allow one business day after we receive your request for processing. If you would like your certification sent to you via e-mail, please indicate this in the box under Course Descriptions below.

Please include below the classes for which you are requesting descriptions. If requesting course descriptions of your full academic history, please allow one business week for processing.

I will pick up this certification.
Mail the certification to the following address:
Mailing Address

Purdue University, 610 Purdue Mall, West Lafayette, IN 47907, (765) 494-4600

2015 Purdue University | An equal access/equal opportunity university | Copyright Complaints | Maintained by Office of Registrar

Need accessibility help? For help with this page, contact Office of the Registrar at registrar@purdue.edu.