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.
University Seal or Stamp
Name:
Title:
Signature:
Date:
DD MM YYYY
FORM SS 2013 Version1