Dean Certifications/Background Checks

Today's Date(Required):

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Requesting Party

Please provide all of this information; if you do not know/recall your Passport ID number, you may leave that field blank. Your current phone, address, and email are important in case we need to contact you.

Name or Organization

ID Number

DOB (YYYY-MM-DD)

Phone number

Email address

Information for Records Release

There are two types of Dean's Certifications. One is a letter from the Office of Community Standards, stating any conduct record you may have. The second is a form with a signed release form by the student that you attach at the bottom of the page. Dean's Certifications must be sent directly to the requesting agency.

Which type of Dean's Certification do you want?(Required)

Statement of Conduct Record Attached Form

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Should this letter be faxed or mailed?(Required)

Emailed Faxed Mailed

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Please list the names, addresses, contact information (including email) of EACH of the Institutions that you are requesting reports be sent to. If you want these records sent to you, please indicate how you would like these records sent.(Required) This field is required.

Do you want a copy sent to you?

Yes No

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Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Requesting Party

Information for Records Release

Supporting Documentation

Submission