Daytona Beach Office of the Registrar
Enrollment Verification

Student Information

First Name *

Middle Name

Last Name *

ERAU ID *

Email *

Phone *

Box Number

Student Type *

Request Information

Delivery Method

Mailed Faxed Emailed

Country *

Attn

(optional)

Street Address *

Address 2

Address 3

Address 4

City *

State

Province (non-USA)

ZIP / Postal Code *

Questions, Comments or Additional Information

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Electronic Signature *

Date

09/17/2025

I hereby certify that this form constitutes an official submission for processing.

Daytona Beach Office of the RegistrarEnrollment Verification