Once you complete this form, Southeastern University will verify your enrollment in regard to your full time or part time status or whether you ever attended our institution. If you need additional information, please list exactly what you need in the Special Instructions box.
PLEASE NOTE: If you will be requesting enrollment verification for medical/dental insurance or car insurance/good student discount, you will be required to submit the company name and policy/account number. If you have loan deferment documents or scholarship documents you need to submit, please attach them to this form (PDF format only). Please gather all necessary documents BEFORE beginning this form.
