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Transcript Request Form

____________________________ Date: _______________________

Uploaded by

Joe Plaminek
Copyright
© Attribution Non-Commercial (BY-NC)
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Download as PDF, TXT or read online on Scribd
19 views

Transcript Request Form

____________________________ Date: _______________________

Uploaded by

Joe Plaminek
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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Rev.

02 25 2008

Office of the Registrar, Chicago: 430 S. Michigan Ave., Chicago, IL 60605, Rm 124, (312) 341-3536 fax: (312) 341-3660
Office of the Registrar, Schaumburg: 1400 N. Roosevelt Blvd., Schaumburg, IL 60173, Rm 120, (847) 619-7952/7951 fax: (847) 619-7960
Paralegal Studies Program : 430 S. Michigan Ave., Chicago, IL 60605 , (312) 281-3186
TRANSCRIPT REQUEST

STUDENT ID# or SS#: ____________________ Date of Birth: _____________ Date: ______________

NAME: (Print) _________________________________________ FORMER NAME: __________________________

ADDRESS: __________________________________________________________________________
Street City State Zip
Hm. Ph: (_____)_______________________________ Wk. Ph: (_____)_______________________________

First Enrolled: ________________ Last Enrolled: ______________ Graduated: _____________

Undergraduate: _____ Graduate: _____ Doctoral: _____ Paralegal Studies____

CHECK APPROPRIATE BOXES:

_______ Hold for current term grades or a grade update.


_______ Hold until my degree is posted (usually 2-3 weeks after day of graduation).
PLEASE SEND TRANSCRIPT (S) TO:

______ ME Enter number of copies requested. Transcript will be sent to address above.

______ AND/OR Enter number of copies requested. Print complete address below:
Institution:

Department: Attn:

Address:

City: State: Zip:

SERVICE TYPE PROCESSING TIME EACH # OF COST


COPIES
Regular 5 Business Days $ 5.00
Rush-sent Sent next business day $10.00
Rush _______Prepared for pick-up next business day after $10.00
Pick-up in Chic 12:00 P.M. in Chicago, Rm 124
Rush _______Prepared for pick-up next business day after $ 10.00
Pick-up in Sch 12:00 P.M. in Schaumburg, Rm 120
Sent next business day via FedEx within USA. For $ 30.00
Rush +FedEx information regarding overseas requests call (312)341-
3536
TOTAL

STUDENT’S SIGNATURE: ______________________________________


Office Use only: Amount received: $_________ by check #: ________

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