Indicates required field Requestor's Name Student/Alum Information Student ID (7-digit) Name First Name Middle Name Last Name Former Name(s) Date of Birth Daytime Telephone Number Email Address Degree Information Degree Awarded Year Degree was Awarded Send Verification to Please select one of the following delivery options. Name Address, if verification is to be mailed Fax Number, if verification is to be faxed Email, if verification is to be emailed For questions regarding this form, please contact the University Registrar's Office at registrar@case.edu or 216-368-4310. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit Reset Leave this field blank Save
