Statement Request Form

Statement Request Form:

Student ID# (7 digits)
Student First Name
Student Middle Initial
Student Last Name
Student Date of Birth (mm/dd/yyyy)
Term or Date Range Requested
Email Address
Mail to (check one) Permanent Address   On-Campus Mailbox

Comments box: (Please let us know if your account could be listed as anything other than what is indicated above)

I understand that I am requesting a statement of my student account be mailed as indicated above and that this statement contains confidential information regarding my account with Aurora Univesity.  I understand that a statement can only be sent to my permanent address on file or to my on-campus mailbox.  I also understand that if any of the information provided is not accurate or verifiable, this request will not be completed. Requests for statements will be completed within two (2) business days or notification will be sent via email.  By clicking "I agree" below, I agree to these terms as stated.

I agree   I disagree