Contact Update Form (.pdf)

Complete this form (alumni or student) when you have a name, address, or emergency contact change.

  • Name changes must be accompanied by legal documentation that confirms the new name.
  • Turnaround time is 1-7 business days (except during peak periods when it could be longer) and you will be contacted via email once your request is ready to be picked up, faxed or mailed.

Duplicate Diploma Form (.pdf)

Roseman University of Health Sciences issues only one diploma to each student.Only under special circumstances will a diploma be re-issued.

  • The reissued diploma will be printed exactly as the original except the current officer’s signatures will appear.  No name changes will be honored for previously issued diplomas.
  • The diploma will be marked with “Duplicate Diploma.”
  • Please enclose a check or money order (no cash) to the address on the form.  Also, enclose a clear copy of a government issued photo ID.  Upon receipt of the form and fee it will take 6-8 weeks for arrival of your diploma.

FERPA Written Consent Waiver Form (.pdf)

The Family Educational Rights and Privacy Act of 1974, establishes that a post-secondary student has the right to inspect and review his/her academic records and generally prohibits outside parties from obtaining the information contained in these records without the student’s written consent. However, a student may waive the right to review certain confidential information, for example, letters of recommendation placed in the student’s file.

Enrollment/Graduation Verification Form (.pdf)

Our institution has authorized the National Student Clearinghouse to act as our agent for all verifications of student enrollment. Please visit the Clearinghouse online to verify enrollment information via a direct inquiry (a fee is assessed).

  • Henderson Campus Reference ID: 040653-00
  • South Jordan Campus Reference ID: 040653-01

Childcare

Also, complete this form if you require confirmation of your enrollment for childcare purposes. Turnaround time is 1-7 business days (except during peak periods) and you will be contacted via email once your request is ready to be picked up, faxed or mailed.

Jury Duty

Also, complete this form if you require confirmation of your enrollment for jury duty purposes. Turnaround time is 1-7 business days (except during peak periods) and you will be contacted via email once your request is ready to be picked up, faxed or mailed.  For students who receive a jury summons, a copy of the summons should be submitted along with the Enrollment Verification form in advance of the day that you need to submit it for consideration of postponement or dismissal of jury duty.

Student Insurance Discount

Please attach the insurance paperwork with this form.

Transcript Payments

Credit Card
Upon login, click on the Registrar/ Student Services tab (column on right) and select “Start” under “Forms” for “Transcript Request Form.”

Cash or Check

Complete form and submit payment in person or by mail to the Bursar Office. Complete this form if you require a certified statement of your academic record at Roseman University.

 

Transcripts may be requested in two forms:

  1. Official transcripts bear the signature of the Registrar and are printed on official transcript paper (cost is $5.00 each – payment options on the form).
    NOTE: When applying for residencies, scholarships, boards, etc. an official transcript is required.
  2. Unofficial  transcripts do not bear the signature of the Registrar, are printed on plain paper, and are free.

Transcript FYI’s:

  • Roseman does not currently participate in electronic distribution of official transcripts
  • Turnaround time on both official and unofficial transcripts is 5-7 business days (except during peak periods) and you will be contacted via email once your request is ready to be picked up, faxed or mailed.
  • Payment is made to the Bursar’s Office in the form of cash, check, money order, or debit/credit card or e-check.
  • If requesting an official transcript for licensure, instructions and address information for state boards can be found below (by program):

NetCommunity Login Credentials

Login for NetCommunity

By clicking “Create Login/ Reset Password” you will be directed to NetCommunity. Follow the links located at the bottom of the login page to receive credentials to login or reset your password.              

Transcripts for Residencies – Instructions

Dental – ADEA Pass (.pdf)
Pharmacy – PhORCAS (.pdf)


Transcripts for Licensure – Instructions

Note: Roseman does not currently participate in electronic distribution of official transcripts.

Dental (.pdf)
Pharmacy (all states other than Colorado, Maine, Oregon, or Utah licensure) (.pdf)
Pharmacy (Colorado, Maine, Oregon, and Utah licensure) (.pdf)

State Licensing Boards

Dental (link)
Nursing (link)
Pharmacy (link)

Written Authorization Form (.pdf)

The Roseman University of Health Sciences (Roseman) does not release or accept any requests from anyone other than the student without written authorization. In order for the office of the Registrar/Student Services to release or accept such request the student must submit a Written Authorization Form for a Transcript/Enrollment & Graduation Verification prior to the requests being dropped off or picked up. If you have questions pertaining to the written authorization form please call the Registrar’s Office at or email us.