Class Roster Verification Form

In order for our office to correct registration errors, it is important that instructors provide information about discrepancies between their official Class Roster(s) and student attendance. Please compare your Class Roster(s) in MyUNIverse with the students actually attending class. If there are discrepancies between Class Roster(s) and student attendance, please note them on this form. If there are courses in which students may earn differing amounts of credit, please note this in the "Hours Credit" area. If there are no discrepancies to report, there is no need to submit the form.

Students attending class(es) who are not listed on the Class Roster(s) should be instructed to come to the Office of the Registrar (in person) immediately to resolve their enrollment status.

If you would prefer to submit a paper copy of this form to our office, please navigate to our Forms page.

Instructor Name *

Date *

Month

Day

Year

Department/Office *

Address/Campus Mail Code *

Phone Number(s) *

E-Mail *

Course and Section Number *

Students Attending Class who are NOT on the Class Roster:

To list more than 3 students, please submit the form again listing any additional students. Up to 3 can be listed per submission.

Student 1 Name:

Student 1 ID Number:

Student 2 Name:

Student 2 ID Number:

Student 3 Name:

Student 3 ID Number:

Students Not Attending Class Who Appear on the Class List(s):

To list more than 3 students, please submit the form again listing any additional students. Up to 3 can be listed per submission.

Student 1 Name:

Student 1 ID Number:

Student 2 Name:

Student 2 ID Number:

Student 3 Name:

Student 3 ID Number:

By Providing Your Full Name, You Acknowledge That All of the Information Provided is Accurate to the Best of Your Knowledge *

Leave this field blank

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Class Roster Verification Form

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