Revised: March 2017 Valid with registrar’s signature and university seal. Office of Records & Registration
completed by
Records Office.
GRADE AND TUITION VERIFICATION REQUEST
Submit completed form to the Records Office via email at records@ggu.edu
, via fax to (415) 442-7223, or in-person or via mail to:
Golden Gate University, Office of Records and Registration, 536 Mission Street, San Francisco, CA 94105-2968. Please allow three
to five working days processing time. Allow additional time for delivery by mail.
Processed form is to be: ❑ picked-up, ❑ mailed, or ❑ emailed to the address below.
(If form is to be mailed, please type or clearly write address below.)
_______________________________________________________
_______________________________________________________ Registrar’s Signature University Seal
_______________________________________________________
STUDENT INFORMATION:
GGU ID Number: ________________________________
Last (family) Name: ______________________________________ First (given) Name: ______________________________
Email Address: __________________________________________ Daytime Phone: _________________________________
I request that the Office of Records and Registration:
(Check all that apply.)
❑ verify the grades received for course(s) listed below ❑ verify tuition amounts paid for course(s) listed below
Signature of Student: _______________________________________________________ Date: ____________________
COURSE INFORMATION:
Term of attendance:
❑ Fall ❑ Spring ❑ Summer Year: ___________
Course Number Course Title Units Grade
____________ ______________________________________________________ ________ ________
____________ ______________________________________________________ ________ ________
____________ ______________________________________________________ ________ ________
____________ ______________________________________________________ ________ ________
____________ ______________________________________________________ ________ ________
REGISTARTION CHARGE AND PAYMENT INFORMATION (To be completed by Records Office):
GGU Grants/Discounts: $________________
Student Payments: $________________
Amount Due: $________________
Tuition:
___ Course(s) @ $ ________________ = $ _______________
___ Course(s) @ $ ________________ = $ _______________
Fees: $________________
Total: $________________
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