INSTRUCTIONS:
1. Fill out request form for each university or college enrolled.
2. Mail request to university or college previously attended or presently attending.
REQUEST FOR COLLEGE TRANSCRIPT
TO: Registrar’s Office
_____________________________________________________________
Institution
_____________________________________________________________
Mailing Address
_____________________________________________________________
City State Zip Code
Please send:
□ Official Transcript of academic record
□ Letter of Good Standing
Southern University @ Shreveport
Office of Admissions
3050 Martin Luther King Jr. Drive
Shreveport, Louisiana 71107
I attended your institution from _____________________ to _____________________
____________________________
Signature
PLEASE PRINT
__________________________________________
Name
__________________________________________
Student’s Social Security Number
__________________________________________
Date of Birth
__________________________________________
Current Mailing Address
__________________________________________
City State Zip Code
TO STUDENT REQUESTING TRANSCRIPT:
Most institutions require the payment of a fee
before issuing the transcript. You can save time by
including your payment with this request. You
should indicate your name, as it was when you
attended the institution, for reference purposes. A
large number of institutions accept only transcripts
mailed directly to them from the Registrar’s Office.
The transcript must be issued to our Admissions
Office or Registrar’s Office.
Note: If your previous school is a sending member
of eScrip-Safe, your transcript may be sent to us
electronically.
◘Southern University @ Shreveport is an eScrip-Safe receiver institution. Please send my transcript
using eScrip-Safe if possible.
