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Transcript Request Form

This document is a transcript request form for Jacksonville University. It requests the student's name, ID number, date of birth, phone number, dates of attendance, number of copies needed, and signature. It provides options for sending the transcript now, holding it for grades or graduation, and mailing or faxing the transcript. It outlines fees for regular, rush, fax, overnight mail, and rush/fax delivery and notes transcripts will not be issued if financial obligations are not met.

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gopi_dosti2004
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© Attribution Non-Commercial (BY-NC)
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Download as DOC, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
17 views

Transcript Request Form

This document is a transcript request form for Jacksonville University. It requests the student's name, ID number, date of birth, phone number, dates of attendance, number of copies needed, and signature. It provides options for sending the transcript now, holding it for grades or graduation, and mailing or faxing the transcript. It outlines fees for regular, rush, fax, overnight mail, and rush/fax delivery and notes transcripts will not be issued if financial obligations are not met.

Uploaded by

gopi_dosti2004
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Jacksonville University Transcript Request

Last Name, First, Middle Initial:

Attended JU Under A Different Name:

JU Student ID: ___________________ or Social Security #: ___________________________

Date of Birth: ______________ Day Time Phone Number: ______________________

Attended JU as: ______Undergrad _______Graduate _______Both UG & Graduate

Grad. Date or Dates of Attendance: # of Copies: ___________

Send Transcript: ____Now ____Hold for Semester Grades ____Hold for Graduation Date

Signature: ____________________________ Date: _______________

Mailing Address (Complete one form for EACH address): or Fax #:


____________________________________________
____________________________________________
____________________________________________
____________________________________________
Transcript Fee (To pay the fee for any of these services go to: http://www.ecsi.net/juepay.
Please write your confirmation # above.):

____ Free Regular Process (10 per academic year) - Up to 5 days

____$10.00 Fax – An unofficial copy of the transcript will be faxed.

____$25.00 Rush - per copy

____$35.00 Rush/Fax - per copy – An unofficial copy of the transcript will be faxed.

____$45.00 Rush/Overnight Mail - Note: Must be received by noon to be processed that day.

Transcripts will not be issued if financial obligations to the University have not been met.

Mail Request To: Fax Request To:


Jacksonville University (904) 256-7086
Registrar’s Office
2800 University Blvd. N
Jacksonville, FL 32211-3394

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