TRANSCRIPT REQUEST FORM
Please fill out all information, print form and sign it. You may email, fax, mail or return this form in person.
SPECIAL INSTRUCTIONS
Saint Louis University
School of Law Registrar
100 N. Tucker Blvd.
St. Louis, MO 63101-1930
T: (314) 977-3309
F: (314) 977-2030
E: lawtranscripts@slu.edu
Saint Louis University will release the records you authorize with this injunction to the recipient: Pursuant to Federal Law 93-308, this personal information is transferred only on the condition that you will not permit any other party to have access to such information without the written consent of the student.
____________________________________________ ____________________________________________ ____________________________________________
LAST NAME FIRST NAME MIDDLE NAME
________________________________________________________________________________________________________________________________________
OTHER NAMES EVER USED
____________________________________________ ____________________________________________
BANNER ID NUMBER (if known) BIRTHDATE
___________________________________________________________________ ___________________________________________________________________
BEST PHONE NUMBER TO REACH YOU EMAIL ADDRESS
__________________________________________________________________________________________ ____________________________________________
SIGNATURE DATE
DID YOU ATTEND THE SCHOOL OF LAW BEFORE 1988? YES NO
NUMBER OF COPIES: _____________ DELIVERY METHOD: PICK UP MAIL
SEND TO:
________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________
HOLD TRANSCRIPT UNTIL GRADES ARE POSTED FOR ___________________ SEMESTER, 20_______
HOLD TRANSCRIPT UNTIL DEGREE IS POSTED, ANTICIPATED MONTH OF GRADUATION ________________________________
OTHER: ______________________________________________________________________________________________________________________________
OFFICE USE ONLY
DATE PROCESSED:
_________________________
INITIALS: ______________