Name Used When Attending School: (if different from above)
First Name
Middle Name
Last Name
Date of Birth:
mm/dd/yyyy
School Name:
HOMETOWN UNIVERSITY
Attempt To:
Verify a degree
ADDITIONAL
INFORMATION REQUESTED
In order to
receive verification of this subject's academic
credentials, you must fax a copy of the subject's
signed/dated consent to the Clearinghouse at 703-318-4058.
Please write the Transaction ID "002337642"
on ALL pages of your fax. We will email the results of your verification
request to bsmith@employerabc.com within 24
hours of receipt of the subject's signed/dated
consent.