Post University Online Transcript Request Form

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Online Transcript Request Form
_____ /_____ /_____
DATE OF REQUEST
I hereby authorize the release of my student transcript, grades and credits.
Student’s Name: ________________________________________________
Student’s Signature: ___________________________________________
Date of Birth: _____________________ Student ID#: __________________
Phone Number: ________________Are you currently enrolled?
Yes
No
Number of Official Transcripts: ____ Number of Unofficial Transcripts: ____
Please forward transcripts to:
NAME and/or TITLE
INSTITUTION or COMPANY
STREET ADDRESS
CITY
STATE
ZIP
When do you want your transcripts sent?
End of Module/Semester
Current Transcript
Once Degree is Conferred
Payment Options
OFFICIAL TRANSCRIPT ($10)
UNOFFICIAL TRANSCRIPT ($3)
Credit Card
Check (Enclose with form)
____________________________________________ ____________
CREDIT CARD NUMBER
EXP. DATE
Please send this form to:
By Mail:
By Fax:
By Email:
203.841.1119
PostADPStudentAccounts@post.edu
Post University
Attn: ADP Student Accounts
800 Country Club Road
P.O. Box 2540
Waterbury, CT 06723-2540
Contact Post University Finance Office at:
1.800.345.2562 Ext. 2751
PLEASE NOTE THE FOLLOWING:
1.
Form must be signed by student in order to legally release transcript(s).
2.
Please allow 5-7 business days for processing.
3.
All financial obligations must be reconciled before transcripts will be released.
4.
Use separate form for each different mailing address to which you desire your transcripts forwarded.
Rev. OCT 2015

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