TRANSCRIPT REQUEST FORM

"For your convenience print, complete & return this form".
TRANSCRIPT REQUEST FORM
TRANSCRIPTS ARE AVAILABLE AT NO CHARGE

KENT STATE UNIVERSITY
OFFICE OF THE UNIVERSITY REGISTRAR	OFFICE NUMBER (330) 672-3131
PO BOX 5190	FAX NUMBER (330) 672-3867
KENT OH 44242-0001

All financial obligations to Kent State University must be satisfied before transcript is released.
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Note: Official transcripts sent directly to a student are marked "ISSUED TO THE STUDENT" and may not be accepted by a third party.

Are you currently attending?

qYES

qNO

When did you first attend?	TERM/YR	__________
When did you last attend?	TERM/YR	__________

Campuses attended ______________________________________________

Dates of Attendance ______________________________________________

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___________________

(_____)_____-_______

Social Security Number

Date of Birth

Daytime Phone Number

__________________________________________________________________________

First Name

Middle Name

Last Name

Former Names

__________________________________________________________________________

Local Address

City

State

Zip Code

_________________________________________________________
Student Signature	Date

_____________________________________________________________________________________________

MAIL TRANSCRIPT TO: (PRINT COMPLETE ADDRESS) Number of Copies Requested ___________
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City	State	Zip Code
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MAIL TRANSCRIPT TO: (PRINT COMPLETE ADDRESS) Number of Copies Requested ___________
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City	State	Zip Code
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MAIL TRANSCRIPT TO: (PRINT COMPLETE ADDRESS) Number of Copies Requested ___________
________________________________________________
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City	State	Zip Code

SPECIAL REQUESTS

Process this Transcript Request
When the Following are Posted:

q	Current Semester Grades_________________
q	Degree For:___________________________ (Allow 4 weeks after graduation for degree to be posted.)
q	Grade Change for: ____________________________________
	Department	Course	Term
q	Other - Please Specify _________________ ________________________________ ________________________________ ________________________________

_____________________________________ REGISTRAR'S USE ONLY
_____________________________________
Date Ordered	clerk
_____________________________________
Date Mailed	clerk
Total No. Copies Mailed______________________________

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