Transcript Authorization Form
Transcript Authorization Form
Please complete this form to authorize the release of your academic transcript.
Student Information
Name
Student ID
Program
Major
Receiver Information
Name
Address
Mode of Receiving
-
Pick-Up
-
Email
-
Mail
Reason for Request
Authorization
I authorize the release of my academic Transcript of Records to the recipient listed above. I understand that this authorization is voluntary and can be revoked at any time by contacting [Your Company Name].
Name:
Date:
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