2. To ensure prompt processing, provide all the
information requested:
TRANSCRIPT REQUEST
Student Name (print clearly) First Middle Last
Former
Name(s)
BVU
ID # (and/or SSN – optional)
Daytime
phone
number
(REQUIRED)
Current street address,
city,
state,
and zip code (print) Email (REQUIRED)
Currently
enrolled
at
BVU:
Y
es
No
If
no,
year
of
last
attendance
at
BVU:
3. Please send my BVU transcript
t
o the following recipient: (Note:
Incomplete
mailing
addresses
may delay processing.)
4. Select when your transcript should be sent to above
recipient(s):
Process
Now
Process
after graduation is posted
Process
after grades are
posted
for
current
semester: Fall Interim Spring
Summer
1
Summer
2 Term: 1 2 3 4 5 6 (circle one)
5.
Signature
My
signature
below indicates that all the information contained on this form is correct,
complete
and
honestly presented.
By signing and dating this form, I give
Buena Vista
University permission
to
send
my
transcripts
to the above address.
Signature
*REQUIRED* Date
*In accordance with the
Federal
Family Educational
Rights
and
Privacy
Act
(FERPA),
a
student’s
educational records cannot be
disclosed
without prior written
consent
of the student.
Requests submitted without
a
signature
cannot be processed.
6. Special
Request/Deliver
y
Additional
fees
apply to special requests/deliveries.
Overnight delivery** fee -
$45
**Request must be received in the
Registrar’s
Office by 1 p.m. CST
International
Mail
–
For shipping
cost. (Please
contact the
Registrar’s
Office prior to
submitting
payment.)
7.
Payment
All fees must be
prepaid.
Make
check
or
money
order payable to
Buena Vista
University
or pay using a major credit card by calling
712.749.2041 (
M-F,
8 a.m.-5 p.m.).
Return this form to the
Registrar’s Office
Buena
Vista
University,
Office of the
Registrar,
610 W.
Fourth Street, Campus
Box 2009,
Storm Lake,
IA
50588
www.bvu.edu/registrar
•
regoffice@bvu.edu
•
712.749.2233
•
Fax:
712.749.1466
Office Use Only:
Receipt/Check
#:
Amount
paid:
U/G/C
Rev.
09/14
1. Transcript Requests submitted on this form must be for the purpose of:
Scholarship Vocational Rehabilitation Veteran Administration
and will only be mailed directly to the recipient named below (not issued to student).
All other transcript requests must be submitted through the National Student Clearinghouse link on the bvu.edu website
• Please allow 1 – 3 business days to process all requests.
• Transcripts cannot be faxed or emailed.
•
All outstanding obligations (financial, academic or administrative) to the University must be cleared before transcript requests will be processed.
