Current Student Enrollment Request

This information request form is intended for use by Social Service Agency employees verifying student enrollment information for the purpose of determining benefits eligibility. Upon submission of the completed form, you can expect to receive an official email response within two (2) working days.

Requestor's Name*
First Last
Requestor's Agency*
Requestor's Email*
Requestor's Fax
Student Information
Student's Name*
First Last
Student's Date of Birth
Date Format: MM slash DD slash YYYY
Aggie ID
The Aggie ID is a nine-digit number that follows this format: 800XXXXXX
Last 4 digits of SSN
Comments
This field is for validation purposes and should be left unchanged.

Current Student Enrollment Request

Student Information