Eastern University
•
gpsadmissions@eastern.edu
•
1300 Eagle Road, St. Davids, PA 19087
•
1-800-732-7669
Request for official college transcript
19 25
• Please print, sign the form in ink, ll out one form for each school, and return it by fax (610-225-5601)
or email (gpsadm@eastern.edu)
• Please do not ll out if you already have ordered the ocial transcript from your sending school or if you have a hold
at the college sending your transcript. The hold will need to be removed before we can request your transcript.
PERSONAL INFORMATION
Please print clearly
Name
Last First Middle
Current Address
City State Zip Country
q Home
Primary Phone q Cell Email
Social Security Number OR Student ID #
Name used when attending this school Date of Birth
School Name School Location
City State
Dates Attended: From To
Degree Major
q Send Now q Send after grades are posted q Send after degree is posted
Date Date
Based on the above information, please order my transcript to be sent directly to Eastern University
Applicant’s Signature Date
Sign, date, and return to one of the contacts below. Note: We must have your signature.
To the Registrar of the School: Ocial transcript must include seal, signature, and date.
Please send by mail to:
Or electronically via parchment or escript-safe to: gpsadm@eastern.edu
Eastern University
Graduate and Professional Studies Admissions
1300 Eagle Road
St. Davids, PA 19087-3696
click to sign
signature
click to edit
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