University Transcript Request - Kentucky Christian University
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1Kentucky Christian University Transcript Request
Allow 2 weeks for processing. Requests will not be processed without payment. Transcripts will be withheld if you owe KCU money/property or if defaulted on Perkins.
Student Name: ________________________________________________________________________________Birth date: _________________________________
Last
First
Middle
MM/DD/YYYY
Former/Maiden Name: _________________________________ Are you currently enrolled at KCU? YES
NO
Year Last Enrolled: _________________
Mailing Address: ________________________________________________________________________________________________________________________
Street
City
State
Zip
KCU I.D. OR Social Security Number: __________________________ Year of Graduation: _______________ Program of Study: ______________________________
Daytime Telephone Number: (
)
-
Email: ___________________________________________________________________________
By signing below I authorize KCU to release my academic information and agree to any and all conditions outlined on this request form. FEDERAL LAW REQUIRES
SIGNATURE (AND DATE) BEFORE TRANSCRIPT CAN BE RELEASED. Please handwrite and date this form.
Signature: _____________________________________________________________ Date: __________________
Student is responsible for correct address of recipient of transcript. Please use additional forms if there are more than 2 addresses.
#
#
Send
transcripts to:
Send
transcripts to:
_______________________________________________________________
________________________________________________________________
Organization
Organization
________________________________________________________________
________________________________________________________________
Attn:
Attn:
________________________________________________________________
________________________________________________________________
Street
Street
________________________________________________________________
________________________________________________________________
City
State
Zip
City
State
Zip
Each Transcript is $5. Overnight is $30.Transcript fees are nonrefundable. To pay online visit https://
Online Payment
Cash
Check
Money Order
Mail form to: Kentucky Christian University, Office of the Registrar, 100 Academic Parkway, Grayson, KY 41143
Fax: 606-474-3189 Email: registrar@kcu.edu
Office Use: Received: ____________Sent:____________ Holds: Financial Aid Perkins Student Services Unpaid Account Paid: ONL CASH CHK MO
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