CALIFORNIA STATE UNIVERSITY, LONG BEACH
COLLEGE OF PROFESSIONAL AND CONTINUING EDUCATION
STUDENT SERVICES CENTER
Request for Verification of Enrollment Letter

To request Verification of Enrollment for a non-credit course(s), please fill out and submit this form.

CSULB ID (if applicable)

First Name

Last Name

Email Address

Country

Street

City

State

Postal Code

Home Phone

Mobile Phone

Semester

Year(s)

Enrolled in the following class:

Need document with CSULB-CPaCE Official Embossed Stamp

Select how you would like to receive the letter:

Email (no seal)

Email Address

Mail to:

Street address, State, State, Zip Code

Pickup from CPIE:

Date

Additional Information

Type your full name as your signature

Date

Contact Information