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Request Your Transcripts (State University of New York at Fredonia)

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BROWSE STATE UNIVERSITY OF NEW YORK AT FREDONIA FORMS

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State University of New York at Fredonia Transcript Request Form Updated April 22, 2016 Page 1 of 2
Request Your Transcripts
Directions: Your transcript(s) will be sent free of charge. Sorry, no FAX
requests can be accepted. Complete the online form below, and then print
the displayed page. Be sure to SIGN your name, date the printout, and
mail it to:
______________________________ ______________________________ _____________________________
First Name Middle Name Last Name
______________________________ ______________________________
Maiden/Any previous names used Fredonia ID or Social Security Number
______________________________ ______________________________ _________ __________ + ______
Current Street Address City State Zip Code + 4
____________________________________ ______________________________
Daytime Phone Number (include area code) E-mail Address
____________________________ ____________________________
Semester of first attendance here Semester of last attendance here
___________________________________________________________________________ __________________
Degrees Received: Degree Semester/Year
Last Status at Fredonia: Undergraduate
Graduate
Send To Information:
This form allows for a maximum of two recipients. If you need to send transcripts to additional recipients, please
complete another form. Please enter the following information for each person you wish to send a transcript to:
Recipient One
Number of copies to be sent _____ Undergraduate Coursework and/or _____ Graduate Coursework
___________________________________________________________________________________________
Name & Title or Office
___________________________________________________________________________________________
Address Line 1
___________________________________________________________________________________________
Address Line 2
___________________________________________________________________________________________
Address Line 3
______________________________ _________ __________ + ______
City State Zip Code + 4
Office of the Registrar
Reed Library
State University of New York at Fredonia
Fredonia, NY 14063
(716) 673-3171
State University of New York at Fredonia Transcript Request Form Updated April 22, 2016 Page 2 of 2
Recipient Two
Number of copies to be sent _____ Undergraduate Coursework and/or _____ Graduate Coursework
______________________________________________________________
Name & Title or Office
___________________________________________________________________________________________
Address Line 1
___________________________________________________________________________________________
Address Line 2
___________________________________________________________________________________________
Address Line 3
______________________________ _________ __________ + ______
City State Zip Code + 4
Delivery Method
Send my transcript now or Hold my transcript for:
Grades:
Fall Year ____ J-Term Year ____ Spring Year ____ Summer I Year ____ Summer II Year ____
Degree Posting:
Fall Year ____ J-Term Year ____ Spring Year ____ Summer Year ____
Grade change:
Course name __________________ Semester _____________ Year ______
Additional comments?
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
________________________________________________
____ /____ /_________
Signature Date
Please note: The University will check to make certain that there are no holds that will prevent the release of your
academic record. You will be notified if we cannot process your request.
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Request Your Transcripts (State University of New York at Fredonia)

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Completed 1 February 2021

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