Transcript Release Form

Fill out all required information to ensure timely processing.

*Indicates required field
*First Name *Last Name (as enrolled)
*SSN (Last 4 digits) *Current Email Address
*Address
*City
*State
*ZIP
*Program

I request that a copy of my transcript be sent to the following address:
*Destination Name
*Destination Address
*Destination City *Destination State
*Destination Zip
*I understand that as a graduate or withdrawn student, a transcript release will not be granted if there is any outstanding tuition or fees on my account.
*By checking this box, I authorize this form and also the school to release my transcript.

Transcript Request

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