Harrisburg University of Science & Technology

Alumni Verification Form

This form is available for those students that have graduated or withdrawn from Harrisburg University and are requesting a education verification letter.

Please do not complete this form if you are a currently enrolled student.

Last Name:

First Name: 

ID#:

Date:

Personal Email:

Date of Birth

Address: Street Line 1:

Street Line 2:

City:

State:

Zip Code:

Country:

Purpose for Verification:

Other, please describe:

Additional Instructions: