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 __________
Home Phone (____) _____-_____ |
Work Phone (____) _____-_____ |
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 _____________________
_____________________________________________________________ ______________________
Signature of Applicant |
Date |
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.
Applicant is currently enrolled?____Yes____No |
Applicant graduated?____Yes____No |
Cumulative grade point average________ Number of hours applicant completed ______ |
Is your grading system equivalent to A=4, B=3, etc.? ______Yes |
______No |
If not, please explain your |
|
|
system___________________________________________________________________
___________________________________________________ |
_________________ |
Signature of School Official |
Date |