Fillable Transcript Request STUDENT INFORMATION Registrar 2500 E. Nutwood

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Transcript Request STUDENT INFORMATION Registrar 2500 E. Nutwood

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The Transcript Request STUDENT INFORMATION Registrar 2500 E. Nutwood form is 1 page long and contains:

  • 1 signature
  • 11 check-boxes
  • 31 other fields

Country of origin: US
File type: PDF

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PLEASE PRINT. All financial obligations must be cleared before transcripts will be released. Note: Average processing time is 7-10 business days, so please
plan accordingly. Rush service is not available. $10 for each Official copy mailed. $
9 for each Unofficial copy faxed. No charge for Unofficial copies emailed.
STUDENT INFORMATION
HIU ID# __________________________________ D.O.B._____/______/_______ Phone # __________________________________
Program q Online q Undergraduate q Graduate
Name __________________________________________________________________________________________________________________________
Last First MI Maiden
Street __________________________________________________________________________________________________________________________
City __________________________________________________________________________ State _____________________ Zip ________________
PLEASE SEND TRANSCRIPT TO
Name
___________________________________________________________________________________________________________________________
Street __________________________________________________________________________________________________________________________
City __________________________________________________________________________ State ______________________ Zip _________________
Dates Enrolled at HIU ______________________________ # of Copies _________________ Special Notes ______________________________________
Email Address ______________________________________________________________ Fax Number ________________________________________
311502313
FOR OFFICE USE ONLY
S A D C
Paid $_________ Initials_______ q Cash q Check q Charge
______Clear/HOLD_____ Owes $ _______________________________
Signature/Date ________________________________________________
Date Transcript Processed _______________________________________
Date Transcript Mailed/Picked up ________________________________
Registrar
Transcript Request
CHECK ONE
Official Transcripts
q Send transcript immediately
q Hold for current/missing/incomplete grades
q Hold for degree posting
q Will pick up
I hereby give my permission to Hope International University to release my academic record to the addressee listed above.
Signature ______________________________________________________________________________ Date ___________________________________
Must be a handwritten signature
Unofficial Transcripts
q Email
my unofficial transcript (unsecured delivery)
q Hold for current/missing/incomplete grades
q Hold for degree posting
q Will pick up
Name on Card ________________________________________________
Card Number ________________________________________________
Card Expiration Date ______________ Card Security Code __________
Amount to Charge_____________________________________________
Card Billing Address
___________________________________________
City ____________________________ State _________ Zip __________
Email Receipt to ______________________________________________
Card Holder's Signature ________________________________________
Must be a handwritten signature
AUTOMATIC CREDIT CARD/DEBIT CARD CHARGE
e card holder herein authorizes the HIU Business Oce to process payments
for transcripts by automatically charging the payment to the card provided.
2500 E. Nutwood Ave.
Fullerton, CA 92831 USA
(714) 879-3901
transcripts@hiu.edu
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Transcript Request STUDENT INFORMATION Registrar 2500 E. Nutwood

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Completed 16 March 2021

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