University Transcript Release Form

University Transcript Release Form

Please fill out this form completely to authorize the release of your university transcript.

Student Information

Name

    Date of Birth

      Phone number

        Email

          Recipient Information

          Name/Organization

            Address

              Phone number

                Email

                  Transcript Details

                  Please indicate the type of transcript to be released

                    • Official Transcript

                    • Unofficial Transcript

                    Delivery Method

                      • Mail

                      • Email

                      • Pick-up

                      Authorization

                      I hereby authorize the release of my university transcript to the recipient listed above.

                      Name:

                      Date:

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