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UT Austin Certification

This document outlines the process for requesting enrollment certification from the University of Texas at Austin, including necessary information such as personal details, mailing addresses, and specific items to be included in the certification. It specifies the requirements for signatures based on the restriction of directory information and provides various submission methods for the request. Additionally, it informs students of their rights under the Texas Public Information Act regarding their academic records.

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19 views2 pages

UT Austin Certification

This document outlines the process for requesting enrollment certification from the University of Texas at Austin, including necessary information such as personal details, mailing addresses, and specific items to be included in the certification. It specifies the requirements for signatures based on the restriction of directory information and provides various submission methods for the request. Additionally, it informs students of their rights under the Texas Public Information Act regarding their academic records.

Uploaded by

FANG-YI CHANG
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Mail to: Office of the Registrar, Enrollment Certification

PO Box 302666, Austin, TX 78703


Fax: 512-475-7520 | Email to: [email protected]
Contact: 512-232-6988, onestop.utexas.edu

Certification Request
This certification will be reported in accordance with the academic record as of the date prepared.

Name: (First, Middle, Last — Certification(s) will be printed with the legal name on record) Date of Birth UT EID

Pick up by Proxy (Print full name) Number of Copies Needed

Other Information:

Address(es) to which certification is to be mailed (or emailed if selecting items ONLY from Section A):

Name: Mailing Address, City, State, Zip for SECTION B and Email Address for SECTION A

Name: Mailing Address, City, State, Zip for SECTION B and Email Address for SECTION A

Please check any of the following items you would like included in your certification request:
SECTION A – IMPORTANT: If your directory information is
restricted an ink signature is required on this form.

Currently enrolled School/College


Current registration for term with dates School/college in which student is enrolled

Current Registration Status Degrees Earned at UT


Full-time/part-time (no hours shown)
Date Degree Expected
Currently Registered Pre-12th Day Status Date that degree requirements are ESTIMATED to be completed. This can
Can show registration for next future term (if student has registered be changed by your college. If unsure, check with your adviser or college
for courses). One semester per certification. before ordering.

Semester: _____________ Year: ____________ Classification


Freshman, sophomore, junior, senior, masters, doctoral, law or professional
Dates of Attendance
Past semesters student has attended with dates (does NOT include Optional Practical Training (OPT)
current semester) If prior to earning the degree includes EID, date degree expected, major,
classification. If post degree, includes EID and degree earned.
Status by Semester
Same as dates of attendance but also includes full-time/part-time status for
each semester. Also includes honors earned for semesters, withdrawal dates.

Major Field of Study


Major student is pursuing

SECTION B – IMPORTANT: An ink signature will be required on this form for any item checked in this section.
THIS INFORMATION CANNOT BE EMAILED. Please include your mailing address above.

Current Registration Status Hours Transferred


Full-time/part-time (with hours shown) Number of hours transferred to UT

Grade Point Average (GPA) Hours Completed at UT


Cumulative GPA Number of hours completed at UT

Academic Standing/Scholastic Status Social Security Number


Student’s academic standing/scholastic status with UT If on student’s academic record

Texas Success Initiative (TSI) Status Date of Birth


Shows TSI Status
Tuition and Fees
Test Scores Tuition/fees billed for a particular semester. Can also show Texas residency
Please select which test scores on file with UT to be printed. status. One semester per certification.
Semester: ______________ Year: _______________
SAT ACT Others: ________________________

Last updated: February 1, 2024 Pg. 1 of 2


Mail to: Office of the Registrar, Enrollment Certification
PO Box 302666, Austin, TX 78703
Fax: 512-475-7520 | Email to: [email protected]
Contact: 512-232-6988, onestop.utexas.edu

Certification Request
NOTE ABOUT RESTRICTED INFORMATION:
• If your directory information is NOT RESTRICTED: the items listed in Section A do not require a signature on this form in order to
be included on a certification. The certification can be picked up in person (with proper ID) at the Texas One Stop, mailed to you or a
third party, scanned and sent to your email address, or to any third-party email address you provide.
• If your directory information is RESTRICTED or if you want any of the non-directory items listed in Section B, an ink
signature is required on this form. The certification can be picked up in person (with proper ID) at the Texas One Stop,
mailed to you or to a third party, or uploaded to a secure Box (if you are a current student of the university). A certification with
restricted information cannot be emailed.

RELEASE OF ACADEMIC RECORDS


I certify that I am the person whose name appears on the name lines of this form, and I do hereby authorize the release of my academic
records to the addresses listed on this form. Student academic records are classified as confidential and may be released only with the
student’s written authorization and signature, in accordance with the Public Information Act and Family Educational Rights and Privacy Act
of 1974.
I authorize the University of Texas at Austin to release the information as indicated on this form.

Student’s Signature (ink only) Date Student’s Current Phone Number

SUBMIT TO NOTE ABOUT RESTRICTED INFORMATION:


Mail: The University of Texas at Austin If you have an additional form that you would like attached to the certification, please send it
Office of the Registrar with the request form. We do not fill in or sign third-party forms but can create a document
Enrollment Certification that addresses that information. Unless picking up in person, please allow up to three
PO Box 302666 business days for processing.
Austin, TX 78703
• Pick-up in person: For same day service, visit the Texas One Stop to order and pick-
Fax: 512.475.7520 up your certification immediately. Proper ID is required. For more information, including
location and hours, visit their website at onestop.utexas.edu/visit.
Email: [email protected]
• Mail: Email the form to [email protected]. If you need to have your
certification sent with expedited shipping, include a shipping label (e.g., from FedEx)
In Person: Texas One Stop
with your form.
MAI 1 (Ground Floor of UT Tower)
110 Inner Campus Dr. • Uploaded to Box: For current UT students only, email this certification request form to
Austin, TX 78712 [email protected].
• Email (For non-restricted information only): The certification can be scanned and
emailed to your email address or to any third-party email address you provide.

NOTICE CONCERNING YOUR INFORMATION


The Texas Public Information Act, with a few exceptions, gives you the right to be informed about the information the University of Texas
at Austin collects about you. It also gives you the right to request a copy of that information and to have the University correct any of that
information that is wrong. You may request to receive and review any of that information, or request corrections to it by contacting the Office
of the Vice President for Legal Affairs at https://legal.utexas.edu/open-records-request or phone 512.471.8300.

For Office Use Only. Signature verified by: Date:

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