Transcript Request
Revised 4/4/12
Bridgepoint Education / TeleUniversity, dba Charter Learning Network students must submit this completed form to:
Bridgepoint Education, 13500 Evening Creek Drive, Suite 160, San Diego, CA 92128
♦ Email: student.records@ashford.edu ♦ Fax: 866.512.7601 ♦ Tel: 866.974.5700
Student Information
First Name:_____________________ Last Name: ______________________ Student ID: ____________________
Name while attending, if different than above: ________________________________________________________
Current Address: ________________________________ City: ________________ State: _______ Zip: _________
Email: _______________________________ Phone: ___________________ Date of Birth: ___________________
Students who provide an email address will be notified within 24 hours (during business days) that this transcript request
has been received. If you provided an email address, and have not received email confirmation that your request was
received, please contact the Office of the Registrar at the phone number or email above.
Request Information
Unofficial Transcript Number of Copies: _____________
Official Transcript Number of Copies: _____________
There is no fee for official or unofficial transcripts from Bridgepoint Education. For security purposes, unofficial
transcripts will only be sent directly to the student. Normal processing time is 2-3 days.
Transcripts to be sent to:
Student at the above address (official or unofficial transcripts) Third Party (official transcripts only)
Name 1: ________________________________________ Institution 1: ______________________________________
Address 1: __________________________ City 1: ____________________ State 1: _________ Zip 1: ____________
Name 2: ________________________________________ Institution 2: ______________________________________
Address 2: __________________________ City 2: ____________________ State 2: _________ Zip 2: ____________
Name 3: ________________________________________ Institution 3: ______________________________________
Address 3: __________________________ City 3: ____________________ State 3: _________ Zip 3: ____________
Acknowledgement
I authorize the Office of the Registrar to release my transcripts to the indicated parties.
Student Signature: __________________________________________________________ Date: ______________
