Western University of Health Sciences Registrar Western University of Health Sciences
Registrar

Forms

 

The files listed below are downloadable in PDF format and require Acrobat Reader. To download a free copy, go to our
Plug-Ins page.

Below are direct links to the PDF forms available through the Office of the Registrar. For further information on each request form, please visit the corresponding web page to the right.

* Please note that although the forms are fillable, an electronic signature is not valid. Once you have filled out the form, please print and sign. You can either e-mail the form with your signature to registrar@westernu.edu or fax it back to the Office of the Registrar at 909-469-5425.

 

FORM WEB PAGE
Enrollment/Degree/Good Standing Verification Request Form (50.1 KB pdf file) Request a Verification
Jury Duty Summons Form Postponement of Jury Duty
Diploma Order Request Form (43.5 KB pdf file) Request a Diploma
Change of Personal Data Request Form (24.7 KB pdf file) Change of Personal Data
Directory Information Waiver Form (24.5 KB pdf file) Student Privacy Rights
Student Data Release Form (106 KB pdf file) Student Privacy Rights
ERAS 2014 LoR Cover Letter ERAS
Commencement/Convocation International Travel Letter Form
Authorization to Release Item