OFFICE OF THE REGISTRAR - QUINNIPIAC UNIVERSITY
275 Mt. Carmel Ave
Hamden, CT 06518
(203-582-8695)
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 #:
Current Address:
Street:
City:
Date of Birth (mm/dd/yyyy):
State/Province Zip/Postal Code:
E-mail address:
Phone Number
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.
Name:
Address:
City/State/Zip:
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
Address:
For Registrar Use Only
Rec'd. Date: ____________________
Rec'd By: _______________________
Amount Recv'd: $________________
Country:
Degree Recv'd: Major:
Please Hold for Final
Grades
