Transcript Request - For Prior Students
Students receive two free lifetime requests that will be mailed to the recipient. If you are a current student, please log into Etrieve and complete the online form there. If you have used your two free requests or wish to send the transcript electronically, please order your transcript through studentclearinghouse.org.
Name
*
First Name
Last Name
Student ID or Last Four of Social
*
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Prior names used while attending:
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Number of Transcripts Requested
*
One (1)
Two (2)
Please attach a copy or picture of a photo ID (State ID, Student ID, Drivers License, Passport, etc.)
*
Browse Files
Drag and drop files here
Choose a file
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Recipient Information
Where are you sending this transcript?
*
To myself at the address above
Pick up in person - please call me when ready to pick up
To the recipient listed below
College Name or Business
*
Attention to:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
By signing below, I certify under penalty and perjury I am the student listed above and understand I am using my free official transcript requests. If any information is incomplete or incorrect, I understand it may delay the processing time.
*
Today's Date
*
-
Month
-
Day
Year
Date
Submit
Office Use Only - Please do not fill below this line
Processed by
Processed Date
-
Month
-
Day
Year
Date
Number of Free Copies Used
First Free
Second Free
First and Second Used
Should be Empty: