Requests for written verification of Graduate School student enrollment at the Medical College of Wisconsin can be made by completing the form below. There is no cost to the student for this service.
The verification letter contains the student's name, anticipated date of graduation and a statement that the student is enrolled full-time in the Graduate School degree program.
Students can also bring in forms that need to be completed rather than have a letter produced. Forms are usually used for deferments, insurance or the military.
Items in bold are required fields.
First Name: Middle Name: Last Name:
Academic Program: Basic & Translational ScienceBioethicsBiochemistryBioinformaticsBiophysicsBiostatisticsCell Biology, Neurobiology & AnatomyClinical & Translational Science (Master)Clinical & Translational Science (Cert)Clinical BioethicsFunctional ImagingHealthcare Technologies ManagementInterdisciplinary Program in Biomedical SciencesMedical PhysiologyMicrobiology & Molecular GeneticsNeuroscience Doctoral ProgramPharmacology & ToxicologyPhysiologyPopulation Health ManagementPublic & Community HealthPublic Health (Master)Public Health (Cert)Public Health EthicsResearch Ethics
I am requesting a letter verifying my enrollment for: Grant SubmissionInsurance IncentivesLoan DefermentPost-Graduation EmploymentProfessional Organization MembershipScholarship ApplicationVoter RegistrationOther
If indicated "other" above, please specify:
Please indicate how you would like to receive the enrollment verification letter.
I will pick up this letter.
Email it to:
Mail enrollment letter to:
City: State: Zip:
E-Signature of Student (please type):
Thank you for submitting your Graduate School Enrollment Verification Request Form. You will be notified via your MCW email address when the document is sent. Please allow one to two business days for processing. If you do not receive a notification within this timeframe there may be an issue processing your request. Please contact our office at firstname.lastname@example.org.
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