Southeastern Louisiana University
Office of Records and Registration
Transcript Request Form
(Request is valid for 30 days)
Transcript is to be:
Name and Address of where Transcript is to be mailed:
Picked up by me
Picked up by a designated person (**see name below)
Send via US Mail (please indicate mailing address below)
Number of Copies Requested (Maximum of three per request)
Person, University / College, or Business Name:
Address:
City: State:
Zip Code:
Student's Information:
Are you a dual enrollment student?
Send transcript now? Do you plan to graduate this semester?
OR
Hold transcript for:
Student's Last Name:
Student's First Name: MI:
Last Name Used as a Student (if different):
Social Security Number:
Student ID Number ("W" Number):
Birthday:
Student's Mailing Address:
City: State:
Zip Code:
Student's Phone Number (Cell):
Student's Phone Number (Home):
YES NO
Approximate Dates of
Attendance at Southeastern:
Send electronically (please indicate email address)
Faxed (Unofficial Only) (please indicate fax number)
Destination
Email Address
Fax Number (Unofficial Transcript Only)
YES NO
End of current semester's grades to be posted Posting of degree
Student's Signature (Required for release of information) Date
NOTES: Students who have attended Southeastern Louisiana University are entitled to an official transcript of the work they have
completed, provided they have cleared any and all outstanding accounts with Southeastern. All transcripts mailed to students or picked up
by students will be marked "Issued to Student." Transcripts ordered for pick up MUST be picked up within 30 days. Transcripts not picked
up within this time frame will be shredded and a new request will be required. Incomplete forms will not be processed. Processing time can
be up to 7-10 business days.
**Name of designated person to pick up transcript: (Identification is required):
Complete and sign this request form and mail to:
Southeastern's Office of Records and Registration
SLU 10752
Hammond, LA 70402
OR
Fax to:
Southeastern's Office of Records and Registration
(985) 549-5632
YES NO
