"Transcript Request Form - Vincennes University"

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VINCENNES UNIVERSITY
Transcript Request Form
**Under normal circumstances, transcript requests are processed within two business days.
Please print clearly or type
.
Name (Last, First, Middle)____________________________________________
Other names you have attended under ______________________________
Student ID Number __________________ or Birth Date____/____/____
In the event that we need to contact you regarding this request:
Current Address
________________________________________________________
________________________________________________________
Email Address
________________________________________________________
________________________________________
Student’s Phone Number
Did you attend Vincennes University prior to 1985?
Yes
No
Are you presently enrolled at Vincennes University?
Yes
No
If not presently enrolled, date of last attendance_____________________
Please print, in the Release transcript to box*, the name and address of the person or
place to whom the transcript is to be released. Submit a separate release for each address
to which you are sending copies. For more than one copy to the same address, fill out only
one form.
I would like my transcript (check one)
________ Mail now.
________ Mail after final grades are posted this semester.
________ Mail after my degree has been posted.
________ Fax an Unofficial Transcript to the fax number and contact listed below.
Number of copies to be sent ________
*Release transcript to:
P
_____________________________________________
R
_____________________________________________
I
_____________________________________________
N
City ____________________ State______ Zip________
T
Country____________________
Signature of student:________________________________ Date: __________
The Family Education Rights and Privacy Act of 1974 prohibits the release of information pertaining to the academic records of the student without the written
and signed consent of the student. By signing this form the student is giving consent to Vincennes University to release a transcript.
How to submit your request:
Mail: Vincennes University
Fax: 812-888-4380
Registrar’s Office
Email: records@vinu.edu
1002 North First Street
Vincennes, IN 47591
Transcripts released to the student will be stamped “issued to student” and are considered Unofficial.
Official Transcripts are only mailed directly to Colleges, Agencies or Employers.
(
Rev. 1/13)
VINCENNES UNIVERSITY
Transcript Request Form
**Under normal circumstances, transcript requests are processed within two business days.
Please print clearly or type
.
Name (Last, First, Middle)____________________________________________
Other names you have attended under ______________________________
Student ID Number __________________ or Birth Date____/____/____
In the event that we need to contact you regarding this request:
Current Address
________________________________________________________
________________________________________________________
Email Address
________________________________________________________
________________________________________
Student’s Phone Number
Did you attend Vincennes University prior to 1985?
Yes
No
Are you presently enrolled at Vincennes University?
Yes
No
If not presently enrolled, date of last attendance_____________________
Please print, in the Release transcript to box*, the name and address of the person or
place to whom the transcript is to be released. Submit a separate release for each address
to which you are sending copies. For more than one copy to the same address, fill out only
one form.
I would like my transcript (check one)
________ Mail now.
________ Mail after final grades are posted this semester.
________ Mail after my degree has been posted.
________ Fax an Unofficial Transcript to the fax number and contact listed below.
Number of copies to be sent ________
*Release transcript to:
P
_____________________________________________
R
_____________________________________________
I
_____________________________________________
N
City ____________________ State______ Zip________
T
Country____________________
Signature of student:________________________________ Date: __________
The Family Education Rights and Privacy Act of 1974 prohibits the release of information pertaining to the academic records of the student without the written
and signed consent of the student. By signing this form the student is giving consent to Vincennes University to release a transcript.
How to submit your request:
Mail: Vincennes University
Fax: 812-888-4380
Registrar’s Office
Email: records@vinu.edu
1002 North First Street
Vincennes, IN 47591
Transcripts released to the student will be stamped “issued to student” and are considered Unofficial.
Official Transcripts are only mailed directly to Colleges, Agencies or Employers.
(
Rev. 1/13)