Mercer University Transcript Request – Fill Out and Use

Office of the Registrar

1400 Coleman Avenue ! 108 Langdale Hall, Macon, Georgia 31207 -0001 Phone (478) 301 -2494 ! Fax (478) 301 -2455 ! Email: registrar@mercer.edu

TRANSCRIPT REQUEST FORM

Complete a separate form for each different official transcript destination.

Name:

Last

First

Middle

Maiden

Current

Dat e of Birt h:

Address

ID#:

Or

Cit y

St at e

Zip Code

Last 4 Digit s of SS#

Email:

Phone:

If you w ere regist ered under another name at Mercer, please complet e:

Previous Names:

Last

First

Middle

Maiden/Married

If you are not current ly enrolled, please indicat e dat es or t erms of at t endance:

If you at t ended Tift College, Forsyth GA, please indicat e dat es or t erms of at t endance:

Normal Mailing or Pick up

No Charge f or request ed t ranscript s w it h processing t ime of at least two w orking days, and at t he beginning and end of t he t erm up t o one w eek.

‘Please issue now by normal processing.

‘Please issue t hese t ranscript s after grades f or t he current t erm have been post ed.

‘Please issue t hese t ranscript s after my degree has been post ed. I expect t o f inish degree/cert if icat ion

requirement s (dat e/t erm)

.

Special Processing

Each service requires t he separat e f ee list ed.

!If you are a current st udent , credit card payment s can only be done on-line at by logging int o MyMercer port al and paying t hrough Quick Pay.

!If you are NOT a current student , Make check payable to Mercer University and send your check t o t he Of f ice of t he Regist rar, 1400, Coleman Ave, Macon, GA 31207. To expedit e service, you may f ax your

request t o (478)301-2455 and mail t he original request w it h check enclosed (indicat e request w as f axed).

‘Same day mail service $10.00 each copy

‘ Send by Fax (unof f icial)*		t w o w orking days $5.00 OR			‘ Send by f ax same day $15.00
To Fax#:			At t ent ion:

* If mailing address is included below , an of f icial copy w ill be mailed in addit ion t o t he f axed copy.

I am request ing (number)			Official copies of my t ranscript t o be sent t o:
At t ent ion:
Business or					I w ill pick up:
School Name						Dat e/Time
St reet :
	Cit y		St at e	Zip Code

Note: it is st udent ’ s responsibilit y t o f urnish correct and complet e legible addresses.

SIGNATURE REQUIRED

DATE

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