FORM SS 2013

Version1

Proof of Student Status Form 2013

Student Name:

Name and address of College or University:

Course Title

(including level of course e.g. Bachelor degree)

Number of years of University study that this student will have completed at time of participation in
the Camp Leaders Programme:

.

Course enrolment date:

Length of current course:

Dates of summer break from College or University:

From:

(Day)

(Month)

(Year)

To:

(Day)

(Month)

(Year)

To be completed by a University Official

(please print)

I certify that Mr/Mrs/Miss/Ms

is currently enrolled as a

full-time, matriculating higher education student at this institution and the above information is
correct.



Name:

Title:

Signature:

Date:

DD

MM

YYYY

 

University Seal or Stamp