Financial Aid Attendance
Verification Form

Directions:
Fill out form, then print the page. After printing click on the "Send to Financial Aid Office" button. Next, Sign and date the printed page and mail it to the business office. (LBCC Financial Aid Office, 6500 Pacific Blvd SW, Albany, OR 97321)

Select Term and Year *
Student Name *
Student ID Number *
Course CRN *
Course Number *
Course Name *
Attendance Date *
Instructor Name *
* Required information, must be filled out
 
 

My signature below certifies that the above-named student has maintained regular attendance in my class after the 2nd week of the term and through the week indicated below.

Instructor's Signature ____________________________________   

Date ______________________    

Phone Ext. _______________