Official Transcript Request Form - Ecpi University
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1This form must be printed and include an original signature for processing.
REQUEST FORM
Reset Form
Print Form
Transcript or Duplicate Degree
STUDENT INFORMATION
First
Middle/Maiden
Last Name:
Name used while attending:
Date of birth:
Daytime Phone:
Social Security #
(mm/dd/yyyy)
Address:
City
Zip
email
State
Yes
No
Year
Which campus did you attend?
Did you graduate from ECPI?
From:
To:
If you did not graduate, please provide dates of ECPI attendance (approximate):
(mm/dd/yyyy)
(mm/dd/yyyy)
TRANSCRIPT REQUEST INFORMATION
This is a non-refundable, per copy fee.
Process type requested
Expedited (3-5 business days). for $10.00.
Normal (7-10 business days).for $5.00 OR
I request that an official transcript be sent:
to me at the address above.
to the individual(s) below.
Name
Company/School Name
Address
City
State
Zip
Name
Company/School Name
Address
City
State
Zip
DUPLICATE DEGREE REQUEST INFORMATION
I request a duplicate degree/diploma ($20 fee). Degrees/diplomas can only be sent to the graduate and take 4-6 weeks to process (no expedited orders).
PAYMENT INFORMATION
($5 per transcript/normal processing; $10 per transcript for expedited processing; $20 for duplicate degree/diploma).
Total amount due $
Make checks payable to "ECPI University"
DO NOT MAIL CASH.
To make an online payment, please visit:
I attest that the above information is correct.
Date:
Student Signature (Required for all requests)
(mm/dd/yyyy)
SUBMIT THIS FORM
Print this form and mail or deliver the original to your local campus with payment:
800 Moorefield Park Drive
4800 Airport Center Parkway #100
250 Berryhill Road #300
5555 Greenwich Road
Virginia Beach Online
1001 Omni Blvd #100
Richmond, VA 23236
Charlotte, NC 28208
Columbia, SC 29210-6467
Virginia Beach, VA 23462
5555 Greenwich Road Suite 510
Newport News, VA 23606
Virginia Beach, VA 23462
School of Health Science
124 Floyd Smith Drive
1001 Keys Drive #100
School of Health Science
School of Health Science
800 Moorefield Park Drive
Charlotte, NC 28262
Greenville, SC 29615
5501 Greenwich Road #100
1001 Omni Blvd #100
NCPACE Students:
Richmond, VA 23236
Virginia Beach, VA 23462
Newport News, VA 23606
Attn: Students Records Coordinator
7802 Airport Center Drive
7410 Northside Drive #100
5555 Greenwich Road
Greensboro, NC 27409
North Charleston, SC 29420
School of Health Science
School of Culinary Arts
10021 Balls Ford Road, #100
Virginia Beach, VA 23462
2809 Emerywood Pkwy Suite 400
2428 Almeda Ave Suite 106
Manassas, VA 20109
4101 Doie Cope Road
Richmond, VA 23294
Norfolk, VA 23513
Raleigh, NC 27613
5234 Airport Road
Roanoke, VA 24012
4305 Cox Road
Glen Allen, VA 23060
Office use only
Rec: _________ Paid: _________ Receipt #: _________ Date processed: _________Address verified in CampusVue__________
University Administration 5555 Greenwich Road, Virginia Beach, VA 23462
Registrar@ecpi.edu
Rev. 10/13/2014
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