Transcript Request Form

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#2 John Brewer’s Bay ● St. Thomas, Virgin Islands 00802 ● Phone (340) 693-1160 ● Fax (340) 693-1167● Cashier: (340) 693-1437
registrar@uvi.edu (for more information)
OFFICE OF ACCESS AND ENROLLMENT SERVICES ● OFFICE OF THE REGISTRAR
TRANSCRIPT REQUEST FORM
1. Apply online by hitting SUBMIT at the bottom of form. Call Cashier to pay by credit card. Payee for check is UVI.
2. For express delivery, pay additional $28.60 for FedEx to US. Call or email us for other destinations.
3. Transcripts will not be processed for students/alumni with outstanding balances.
4. If online submission is not possible for you, please print, complete and mail or fax to UVI. (See contact information above.)
5. Forms not submitted online must be signed.
Online completion and submission work best with the latest version of Acrobat Reader.
Click here for a free download.
PRINT CLEARLY (ALL INFORMATION IS REQUIRED)
Student ID #: ______________
Date of Birth: ___________________ E-mail Address:____________________________
mm/dd/yy
Last Name: ______________________ First: ___________________ Middle: _______________ Maiden/Previous:______________
Name at UVI: ______________________________ Date of last enrollment: ____/____/______ Tel. (m/h/w) ____________________
mm/dd/yy
Signature ___________________________ Date _____________________
INSTRUCTIONS
[ ] E-Transcript [ ] Official Transcript
[ ] Undergraduate Transcript
[ ] Hold for current semester grades
[ ] Issue now
[ ] Unofficial Transcript
[ ] Graduate Transcript
[ ] Hold until degree is posted
[ ] I will pick up [ ] USPS Mail
[ ] Deliver to __________________________________ (Valid picture ID required)
Extended
PAYMENT:
Number:
Cost:
Amount:
1.
Total Transcripts Ordered:
x
$10.00
=
$
Optional Delivery Charges per Address
2.
x
=
FedEx® Expedited Delivery—Domestic
$28.60
$
x
=
$
$
FedEx® Expedited Delivery– International
Call for delivery cost
$
Total Amount Paid:
Payment Method: ______________________
INFORMATION FOR E-TRANSCRIPT
BY MAIL OR COURIER
Choose one only.
Exact mailing address is required.
FedEx cannot deliver to a P.O. Box.
Electronic Network Recipient
(click here)
Recipient’s Name: _________________________
Send to: _______________________________
_________________________
Recipient’s Email: _________________________
Address: _______________________________
Send electronically outside Network
(please inform recipient)
_______________________________
Recipient’s Name: __________________________
_______________________________
__________________________
SUBMIT
Recipient’s Email: __________________________
02/24/2012 mpw

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