Dominican University Transcript Request Form PDF Details

Making a request for your Dominican University transcripts is a straightforward process. You can complete the transcript request form and submit it online, or you can print out the form and mail it in. You will need to provide some information about yourself, including your full name, Social Security number, date of birth, and address. You will also need to include the addresses of all institutions where you have previously attended. There is a fee of $10 per transcript requested, payable by credit card or check. Your transcripts will be sent electronically or by mail upon receipt of your request. For more information, visit the Transcript Request page on our website.

QuestionAnswer
Form NameDominican University Transcript Request Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namestranscript maicusi, river maicusi, university illinois maicusi, request transcripts maicusi

Form Preview Example

TRANSCRIPT REQUEST FORM

Office of the Registrar

7900 West Division

River Forest, IL 60305

Phone: (708) 524-6774

Fax: (708) 524-6943

Student Information (All required to identify your record – Please print clearly)

Date of request___________________ Student ID number ______________ Telephone __________________________

Full Name ____________________________________________________________________________________

Full Name while attending Dominican University_____________________________________________________________________________

Current Mailing Address - Street _________________________________________________

Last date of attendance:

City _______________________________ State _________ Zip __________________

_______________

 

 

 

 

NOTICE: The enclosed transcript is being forwarded on the condition that it cannot be released in whole or part to any third party without the written consent of the student in accordance with the Family Educational Rights and Privacy Act of 1974.

Due to the Family Educational Rights and Privacy Act of 1974, a student signature is required for release of transcript.

X

Student Signature

 

Date

 

 

 

 

 

 

PURPOSE OF REQUEST:

Scholarship application

Transfer to another school

Summer School/Study Abroad

Employment/Certification

Graduate School

Other ____________________________

TRANSCRIPT FEE: $5.00 per transcript

CURRENT STUDENTS DO NOT PAY $5 TRANSCRIPT FEE

CHECK ONE (if applicable):

Overnight Mail Fee: $20 per address

Rush Fee: $10 per request

Pay by cash, check or money order. Make checks payable to Dominican University.

When faxing a request to (708) 524-6943, payments can be made by using Dominican’s eMarket link below and selecting “transcripts.” Please include receipt with your transcript request.

http s:/ / c o m m e rc e .c a shne t.c o m / % 20 d o m g e m

OFFICE USE ONLY

Transcript sent

_______________

Amount paid

_______________

CHECK ONE (if applicable):

Hold for current semester grades

Hold for graduation information

CHECK ONE

Hold for pick-up (valid photo ID is required)/Quantity:_____

Mail to current address (above)/Quantity:_____

Mail to the following address:

Note: You are responsible for the address. Transcripts cannot be faxed.

Number of official transcripts to this name and address: ________

Name and address:

Number of official transcripts to this name and address: ________

Name and address:

Please attach a second page of addresses if necessary.

2/15/2011

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Filling in part 1 in dominican maicusi pdf

2. Soon after this section is filled out, go on to type in the applicable information in all these: EmploymentCertification, Graduate School, Other, TRANSCRIPT FEE per transcript, CHECK ONE if applicable, Overnight Mail Fee per address, Pay by cash check or money order, When faxing a request to, OFFICE USE ONLY, Transcript sent Amount paid, Hold for pickup valid photo ID is, Mail to current address, Mail to the following address, Note You are responsible for the, and Number of official transcripts to.

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