Transcript Request Form
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1Office Use Only:
Approved By: __________________________
Date: _________________________
Issued By: ____________________________
Transcript Request Form
Date: _________________________
Paid: ______________
ID# ________________ (if unknown please provide SS#)
SS# _________________ Name __________________________________________ Date ________________
Current Address: ______________________________________________ Date of Birth: ______________
__________________________________________________
Last Year of Enrollment: ________
Please check here if this is a permanent address and you wish for all future mailings from the university to
come to you at this address.
Email address: _________________________________________
Phone # ___________________________ Is this a home or mobile number? __Home __Mobile
Other names under which records could be listed [i.e. maiden name, married name(s), nickname]:
________________________________________________________________________________________
Financial Obligations to JBU must be satisfied before an Official Transcript may be issued.
Allow 2-3 business days for a transcript to be issued, EXCEPT AT THE BEGINNING AND THE END OF THE SEMESTER WHEN YOU MUST ALLOW TWO WEEKS.
CHECK THE APPROPRIATE ITEM(S) BELOW:
Concurrent
Undergraduate
Co-Curricular Transcript (TUG students only)
Masters
Hold Transcript for grades posted for ____________________(Specify Semester or Course)
Hold for Degree Conferred
Hold for Pick Up
Fax to ________-________-___________ Attn: _____________________
Email to: __________________________________
(ALL FAXES AND EMAILS ARE UNOFFICIAL)
NUMBER OF TRANSCRIPTS REQUESTED: ________ Official _______ Unofficial
SEND TO: ______________________________________
________________________________________
______________________________________ _
________________________________________
_______________________________________
________________________________________
_______________________________________
________________________________________
Signature: _____________________________________________ Date: __________________________
(Signature required by Federal Privacy Laws)
Send this request to the Registrar’s Office by one of the following methods:
1.
Scan this signed request and email to:
transcripts@jbu.edu
3. Mail: JBU Registrar’s Office
2000 W University St.
2.
Fax: Attn: Registrar’s Office
Siloam Springs, AR 72761
479 524-7278
There is no cost for unofficial transcripts. Official transcripts are $2.00 each. We work on the “honor system” which means that if you
fax or email your request to us we will process it without payment with the understanding that payment will follow by mail.
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