Graduate Program Alumni - KASA Verification Request Form

Click below to download the KASA Verification request form.

Please complete the form; be sure to sign it!

You may mail it to the SLPA dept (Ithaca College, 953 Danby Road, 301 Smiddy Hall, Ithaca, NY, 14850-7000) or fax it (607-274-3753). The Chair will sign it and send it back to you.

 Verification Request Form

School of Health Sciences and Human Performance  ·  Ithaca College  ·  Ithaca, NY 14850  ·  (607) 274-3237  ·  Full Directory Listing