UNC Verification Request Form

UNC Verification Request Form
Please use this form to submit a verifcation request. Request can take 3-5 business days to complete.
Date Of Request

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current course(s) - select all that apply to this verification request.
Current Semester Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Current Semester End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Expected Graduation Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Verification Type Needed
Indicate exact details needed in verification
*Please note that verifications will automatically be sent to your student email address, even if you input a personal email address above*
Should be Empty:

*Please note that verifications will automatically be sent to your student email address, even if you input a personal email address above*