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Transcript Request Form (For Current Students On The Affiliated Program) - University Of The Southern Caribbean

ANDREWS UNIVERSITY AFFILIATION AND OFF CAMPUS PROGRAMS

University of the Southern Caribbean

Off Campus Site:

P.O. Box 175, Port of Spain, Trinidad, W.I.

Tel. 1-(868)-662-2241/2 Fax: 1(868)-662-1197

TRANSCRIPT REQUEST FORM

(for non-graduated students)

Please read and follow all instructions overleaf and provide all the information required on this form.

DATE: __________________________________

PLEASE USE BLACK INK

Name: ___________________________________________________________________________________

First

Middle

Last

Date of Birth: _______________________________________________ AU ID#_____________________

Month

Day

Year

Mailing Address: _________________________________________________________________________

________________________________________________________________________________________

Phone Number: _____________________ E-mail Address: _______________________________________

Program of Study: ___________________________________________ Graduation Year ______________

Signature: ___________________________________________________

[

]

Number of copies

[

]

Mail Transcript Now

[

]

Special Instructions:

[

]

Release after current semester grades are posted

[

]

Release after degree is posted

[

]

Other: _________________________________________________

Please PRINT addresses clearly (if different from above):

1 ______________________________________

2 ______________________________________

______________________________________

3 ______________________________________

4 ______________________________________

______________________________________

Transcript Request Form (For Current Students On The Affiliated Program) - University Of The Southern Caribbean

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