Alumni Transcript Request

Alumni Records Request

Fill out this form to request your transcript or replacement diploma. Postage is required.
Transcript $10.00 (each) plus $1.00 postage

Replace Diploma $25.00 (each) plus $7.00 Postage

We will not send items out that do not include correct postage.

ALLOW UP TO TWO WEEKS TO PROCESS.
Year Graduated
Name

First Name Last Name
E-mail
Date of Birth

Month Day Year
Date
This is a new address

Yes No (Do not fill out New Address Below)
Put the new address on my transcripts

Yes No
New Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Send my Documents to this address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Name on the Diploma and Transcripts *
If you changed your name upload your State ID with the Name Change
Send Me both Official Transcripts.

Yes No
For REPLACEMENTS ONLY

I am requesting a DIPLOMA I am requesting a Transcript(s) I am requesting both
For REPLACEMENTS ONLY
NUMBER OF TRANSCRIPTS
For REPLACEMENTS ONLY
NUMBER OF DIPLOMAS
Send 1 Official Copy to a College or Job
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Send 2 Official Copy to a College or Job
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Any other Comments

Add All Your Fees and place in the box *

USD Description

Alumni Records Request