Do not print the form and fill it out by hand.  
 

Enter all the required information online, use the "Print and Sign" button at the bottom of the form to generate the official PDF copy.
 Adobe Reader required. Click here Download Adobe Reader to install.
 
The official copy will have a barcode in the lower left corner and a signature line at the end of the form.
 

After you print and sign the form, bring the form to the Enrollment Services Office on the first floor of Lynnwood Hall, OR fax the form to 425-640-1159, OR mail the form to: 
 
Enrollment Services 
Edmonds Community College 
20000 68th Ave W 
Lynnwood, WA 98036 

Verification of Enrollment Request 
 Student Name     Last: (Surname):      First:      M.I.: 
 Student ID Number:    -- Help  Birthdate:  //   MM/DD/YYYY
 Year/Quarter:    Help  Social Security Number: -- Optional
Check Type of Verification needed:
   Unemployment Progress Report       Loan Deferment    
  Good Student Discount       Medical Insurance
  Other:  
 

characters left 
 
 
 Pick-Up     (Allow 3 business days for processing; usually available after 3:30 pm on day 3. Additional delays may occur during the first week of registration and the first week of the quarter. Photo ID required for pick-up).
 
 Mail:
 Street Address:  
 City:    State:     Zip: 
 
 NOTE: FAX SERVICES ARE NOT AVAILABLE FROM THIS OFFICE
 
 
   This button will generate a pdf form.
 Please print the PDF and sign
 
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