Disclaimer

Only the student (current or previous) can request their unofficial transcript.

An unofficial transcript can be sent electronically or mailed.  

The cost of an UNOFFICIAL transcript is $5.

By completing and submitting this form, you are acknowledging you are the authorized person (student) allowed to request the transcript.

Student Information

Full name:

Name when enrolled:

Date of Birth:

Last four of SSN:

Enrollment Information

Years attended:

Program:

Did you graduate?

Graduation Year:

Current email address:

Phone Number:

Recipient Information 

Name (employer, college, etc.):

How would you like the transcript to be sent?

Recipient's e-mail:

OR

Street Address:

City:

State:

ZIP Code:

Electronic Signature:

Today's Date: