TRANSCRIPT REQUEST
Please print clearly and fill in all portions of the form.
Using the contact information at the right, submit the
completed form to the Registrar’s Office in person or by mail.
1. Student Information
____________________ ____________________________ ____________________________
Drury ID SSN BIRTHDATE (MM/DD/YY)
___________________________________________________ ___________________________________
Name: LAST FIRST MIDDLE OTHER NAME(S) WHILE ATTENDING
Currently enrolled?
YES NO _____________________________
LAST DATE ATTENDED (YEAR)
_____________________________________________________________________________________________
CURRENT PERMANENT ADDRESS, APT. #
___________________________________________________ ___________________________________
CITY STATE ZIP COUNTY (only in MO)
______________________________ _________________________________________________________
DAYTIME PHONE EMAIL
2. Transcript Processing
WILL PICK UP MAIL
Choose One:
Mail To Recipient:
Send Now
Hold for degree posting ________________________________________________________
Hold for current term grades
NAME
________________________________________________________
Quantity of Transcripts:
ADDRESS LINE 1
________________________________________________________
ADDRESS LINE 2
________________________________________________________
UNDERGRADUATE GRADUATE CITY STATE ZIP
3. Transcript Policy
• Student records are confidential. Your signature is required to authorize the release of your
transcript.
• Transcripts are normally processed within 1 to 2 business days.
• Transcripts will not be released if you have a past due balance with Drury University.
•
A fee of $12 per transcript is due at the time of request. Checks should be made payable to Drury
University.
________________________________________________ ____________________________
SIGNATURE
DATE (MM/DD/YY)
900 N. Benton Avenue
Springfield MO 65802
Phone (417) 873-7211
Staff ____________
Amount ____________
Check/M.O.# __________
