Enrollment Services
Received by: _____ Updated 06/08
Date: __________ University of {school name]
There is an $80.00 charge for each copy of your transcript. Payment must be
submitted with
request. Please mail to: [school address]
Transcripts show only {school name} courses. Transcripts of courses taken at
other institutions must be
requested from those institutions.
Requests cannot be processed if you have a financial hold due to a balance on
your account.
(Please contact the Cashier’s Office before submitting
the request to resolve any holds.)
Transcripts are processed within approximately two working days after receipt
of the request
(if received before 3:00 p.m.).
Student Number: N__________________ Phone: ( ) E-mail address:
_________________________
Name:
__________________________________________________________________________________________________
(Last) (First) (Middle Initial)
Current Address:
_______________________________________________________________________________________________________________
(City) (State) (Zip code)
I would like to order ______ copies of my transcript.
Transcripts will be mailed if an address is listed below.
Please
process this request: Otherwise, leave blank.
. immediately ____________________________________________.
. after the
________ semester grades are posted
____________________________________________.
. after degrees are posted
____________________________________________.
____________________________________________
To obtain: ____________________________________________
. I will pick up my transcripts.
. Please mail my transcripts.
.
Electronically send transcripts (some public institutions within state of
Florida only)
. I have included an attachment
. I am sending the
individual named below to pick up my transcripts.
In accordance with the FAMILY EDUCATIONAL RIGHTS AND PRIVACY ACT OF 1974,
as amended, student’s academic records are
classified as confidential and
may not be released to anyone other than the student without the student’s
written authorization and signature.
I give ______________________________________________________ permission to
pick up my transcripts.
Name of individual (This person must present valid photo I.D.)
Student’s Signature ___________________________________________________ Date
___________________________
Processed by __________
White copy: Enrollment Services Yellow copy: Student Date
_________________
.
.