Fillable Union Graduate College Academic Record Transcript Request printable pdf download

Union Graduate College Academic Record Transcript Request

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ACADEMIC RECORD TRANSCRIPT REQUEST

TUDENT

DMINISTRATIVE

ERVICES

No transcript will be prepared for anyone whose financial obligations to the University have not been met.

Union Graduate College alumni with records prior to July 17, 2003 should contact

Union College

for transcripts

Student Information

Current Full Name

Former Name (if applicable)

Student ID Number

Social Security Number

Program/Major (recommended)

Phone Number (required)

Email Address

Years of Attendance (ex: 2001-2005)

Check here if you are requesting a Union Graduate College transcript (otherwise, a Clarkson transcript will be issued)

Transcript Delivery Options & Service Fees

Delivery Method

Service Fee

In-office pick-up (ID required) – transcripts must be picked up at the campus you attended

Standard mail

Must be received by 10:00am for same-day processing

*Priority mail

$7.00

*Priority Express mail

Must be received by 10:00am for same-day processing

$25.00

Unofficial transcript via

Fax

*Priority and Priority Express available for domestic mail only. Please contact SAS if you need rush service to an international address.

Total number of transcripts requested:

Total fee (due now):

Clarkson University retains the right to limit the number of official transcripts provided at one time.

Mail:

Fax Number or Email address:

Attn:

For unofficial, unsecured transcripts only

Special Instructions

Hold for current semester grades

Hold for degree certification

Other:

Expected degree date

Release Authorization

The Family Educational Rights & Privacy Act of 1974, Public Law 93-380, Section 483 requires the written consent of the student before any information, other than

directory, can be released. By my signature on this form, I am requesting that Clarkson University furnish an academic transcript to the recipient listed.

Student Signature (electronic signatures are not accepted)

Date

Payment Method for Rush Service

Cash or Check (enclosed)

Credit Card

Type:

MasterCard

Visa

Discover

Credit Card Billing Address:

Card Number

CVV