Name*

First Last

Date of Birth*

Student ID Number*

Palomar Student Email Address*

Current Address*

Street Address Address Line 2 City State ZIP Code

Today's Date*

Your Major*

Your Academic Program*

Associate Degree, University Transfer or Certificate

What semester do you need us to verify?*

(example: Spring 2025)

What type of Verification do you need?*

Proof of enrollment (proof of enrollment at Palomar College; program of study, expected end date)
Applying for Social Security Number (need proof of on campus job offer)
Verify home address for California DMV
Tuition Summary
Visa Renewal/Support Letter
Other (Write request below)

Write the reason you need the form. *If attachments are needed with your request, email attachments to internationalstudents@palomar.edu referencing your verification.

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International Student Program