Sagu Transcript Request Form – Fill Out and Use This PDF

Transcript

Request Form

Revised: 09/30/2011

Please print this document to request an official transcript. This form must be completed in full. You may mail this request to 1200 Sycamore, Waxahachie, TX 75165, attention Registrar’s Office or fax this request to 972-

923-8159.

Transcripts are not issued until all accounts with the university are paid. Student Records are confidential and

are issued only at the written and signed request of the student. Transcripts sent to or picked up by the student are stamped “ISSUED TO STUDENT.” Many institutions may not recognize a document as official unless it is

sent directly from SAGU. SAGU does not fax transcripts without sending a hard copy to the recipient so fax is an additional service.

In order to avoid possible delays in the processing of transcripts, please ensure that all information listed is complete and accurate.

Please Print Clearly

	Last Name	First Name		Middle Name		Other/Maiden
	Street Address
				(	)
	City	State	Zip	Current Phone Number
	Last Enrolled at SAGU: ( ) Fall	( ) Spring (	) Summer	Year: _____________		฀ Please update my
							address to one listed
	SS# _________-_________-____________		Date of Birth ______________________ above.
	Signature: _______________________________________				Date: _______________
	Options:			 Cash/Check
	฀ 3-5 Business Days*	฀ Fax (Additional)		 Credit Card (_________) (_______)
					Card Type		Security Code
	฀ Overnight Transcript	฀ Office Pick Up		________________________________(_______)
				Card Number			Exp. Date
				Billing Address: ___________________________

฀ Hold for Grades ฀ Hold for Degree	Send Transcript to:
____ Add. Copies (Same Request Only)

*Indicates PROCESSING time, not delivery time.

	Reason:	Office Use Only
	฀ Scholarship ฀ Personal ฀ Transfer
		Library:________ _____/_____/______
	฀ Employment ฀ Other: ____________		Date Sent
		Account:_______	Initials: ______

Entered: ______