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Status Form - Attestation - University Enterprises, Inc.
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Status Form – Attestation

Home › Status Form – Attestation

Please review your information and print a copy of this page for your records

  • Semester:
  • School Year:
  • Employee ID:
  • First Name:
  • Last Name:
  • Email:
  • Phone:
  • Are you attending High School?:
  • Are you going to school?:
  • Are you a recent graduate?:
  • Date Graduated:
  • Major/Field of Study:
  • Current Date: Saturday 25th of June 2022

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File Attachments

Sac State students and casual part-time employees can skip this step.

Non-Sac State students must provide enrollment verification document(s) The preferred method is to attach the document(s) here.

We only accept files in PDF or JPG format with a maximum size of 20MB.


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College NameClass/Thesis FileFile to Upload

Attestation & Submit

Your submission certifies that all statements are true and complete to the best of your knowledge and provide the authorization for University Enterprises, Inc. to assess any records necessary to verify this information. False or intentionally incomplete information may be considered grounds for termination.

I understand failure to submit this form and any required enrollment verification documents prior to the start of each semester/quarter or failure to maintain minimum enrollment requirements for the position may be grounds for disciplinary action up to and including termination.