Dbu Transcript Request Form – Fill Out and Use This PDF

Official Transcript Request Form

INSTRUCTIONS: Complete the top portion of this form and then mail the entire form to the college or university you have attended along with the appropriate fee. Please make additional copies of this form if you have attended more than one institution. DBU requires an official transcript be sent to the Undergraduate Admission Office from every institution attended.

TO: The Registrar of __________________________________________

Name of College, University, or Institution

I authorize one official transcript to be sent to the Undergraduate Admissions Office of Dallas Baptist University *3000 Mountain Creek Parkway *Dallas, Texas 75211-9299

Social Security Number: _______- _______- _______

Name __________________ ________________ ________________ ______________

LastFirstMiddleMaiden

Address ______________________________________________________________________

City __________________________________ State ________________ Zip __________

Name During enrollment if different than above __________________________________

Dates of Enrollment (from) _______________________to _________________________

Degree Conferred (if applicable) ______________________________________________

Semester and year that I plan to attend Dallas Baptist University _____________________

_____________________________________________________________ ______________________

To Be Completed by the Registrar

Please complete the grade point average information below and send this form, along with an up-to-date official transcript, directly to Dallas Baptist University. Thank you.

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