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School of Graduate Studies
Tr a n s c r i p t R e q u e s t
To the applicant: Complete the information below and send this form and a self-addressed transcript envelope to the registrar of each
college and university you have attended. Request two copies of your official academic record. When you receive the completed form and
academic records in the sealed envelope, include it with the materials you submit with your application. Do not open the envelope when it
is returned to you by the registrar.
Name _______________________________________________________________________________________________________________________
last
first
middle
other last name(s)
Current address ______________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
Social Security number ____ ____ ____ - ____ ____ - ____ ____ ____ ____
Name of college or university __________________________________________________________________________________________________
Dates of enrollment
From ____________________________________
To ____________________________________
month/year
month/year
Degree, major and year _______________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
signature of applicant
date
To the registrar:
The person named here is applying for admission to graduate study at Virginia Commonwealth University. Please attach
two copies of the student’s official academic record. Insert all material into the envelope provided, seal the envelope and sign across the
seal to ensure confidentiality. Return the sealed envelope to the applicant who will submit it unopened to the School of Graduate Studies at
VCU. We appreciate your cooperation in our self-managed application process.
Please describe your grading system (i.e., A=4.0, B=3.0) or attach a transcript key.
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
registrar’s signature/official seal
date
Virginia Commonwealth University
School of Graduate Studies
P.O. Box 843051
Richmond, VA 23284-3051
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