Enrollment Verification

Student may request that an enrollment verification letter be sent to other agencies under the following conditions:
1) Student has at least 12 hours of attendance
2) Student understands that Wayne Township Adult Education (WTAE) staff members need 2-3 business days to process this request.
3) Student gives permission for WTAE to share this information.
4) Student provides the contact information, agency name, address, email, phone and/or fax number of the agency with who WTAE is to share the enrollment verification.

Enrollment Verification Form

Student Name(Required)
Requested By


Contact #1


Contact Person
Address


Contact #2


Contact Person
Address
Consent
Type your name to indicate agreement
Date: 05/16/2022
*Student under the age of 18 must also have this consent form signed below by the student's parent or guardian.
Type your name to indicate agreement
Date: 05/16/2022
Type your name to indicate agreement
Date: 05/16/2022