Transcript Request Form

First Name

Last Name

Previous names you have used, if applicable

Job Title

Company

Address Line 1

Address Line 2

City

Country

State

Province

State/Province

Postal Code

Phone

Delivery Instructions

I am requesting an

Unofficial transcript which will be sent as a secure PDF via emailOfficial transcript which will be sent as a signed hard copy via USPS mail

Please note: a $15 fee applies. After we research our databases and confirm that you have taken courses with our department, a link will be emailed to you to make your $15 payment. Your transcript will not be issued until your payment is received.

Delivery Instructions for Continuing Education Transcript

Send my transcript to meSend my transcript to someone else

Provide the name and email or mailing address of the other person or organization where you want your transcript sent here:

Special Instructions

Identity Verification / FERPA Compliance

Non-credit student records are confidential and, in keeping with the Family Educational Rights and Privacy Act (FERPA), transcript requests will only be honored when received from the student. Transcripts will only be issued directly to that student or to a specific individual or organization identified by the student as the intended recipient.

I verify that I am the student listed on this form. I am not attempting to obtain someone else's transcript.

YesNo