OFFICE OF THE REGISTRAR - QUINNIPIAC UNIVERSITY
275 Mt. Carmel Ave
Hamden, CT 06518
TRANSCRIPT REQUEST FORM
-There is a $5.00 charge per transcript.
- Transcripts are processed in the order they are received
- Order transcripts at least one week in advance of anticipated mailing date
- Transcripts cannot be sent via fax
-Please use this same form to request Unofficial Transcripts
- Orders will not be processed unless all financial obligations to Quinnipiac University have been met
-Current students may obtain a copy of their Unofficial Transcript via WebAdvisor as well
Last Name: First Name: MI:
Name While Enrolled at QU (If different):
Dates of Attendance Student ID or Soc. Security #:
Date of Birth (mm/dd/yyyy):
State/Province Zip/Postal Code:
Signature: Today's Date:
Please Sign, Date, and Return to the Office of the Registrar in person or via mail with payment in
check or money order form made out to Quinnipiac University.
To send transcripts to multiple recipients, please complete a separate form
1. Number of Copies: I authorize Quinnipiac University to release _____ copy (copies) of my Official Transcript.
_____ copy (copies) of my Unofficial Transcript.
3. Send to:
2. Special Handling Options:
Please send now
Please Hold for Degree(s) to be posted
For Registrar Use Only
Rec'd. Date: ____________________
Rec'd By: _______________________
Amount Recv'd: $________________
Degree Recv'd: Major:
Please Hold for Final