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WISCONSIN LUTHERAN COLLEGE (Wisconsin Lutheran College)

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PLEASE PRINT LEGIBLY – BE SURE TO SIGN AND DATE ON THE BOTTOM LINE
WISCONSIN LUTHERAN COLLEGE
TRANSCRIPT REQUEST FORM
INSTRUCTIONS:
Delays may occur due to incomplete or illegible addresses. Legibly complete this form and include the name of the
recipient and the complete postal address. If transcripts are to be sent to more than one address, please write
additional addresses on the back of this form.
⎕ I will pick up the transcript(s)
⎕ I would like my transcript(s) sent to a recipient
Transcript Fees:
o There is no fee for current WLC
students
o $2.00 per official transcript
o $1.00 per unofficial transcript
o Note: Transcripts may be withheld
if overdue obligations to WLC have
not been satisfied.
o Make checks payable to Wisconsin
Lutheran College
What is the purpose of this transcript request?
⎕ This transcript is being requested for employment purposes.
⎕ This transcript is being requested for a scholarship/insurance discount.
⎕ This transcript request is for transferring to another institution.
⎕ This transcript request is for __________________________________.
SEND RECORD TO: ⎕ Additional address(es) on back
Return this Request Form to:
Wisconsin Lutheran College
Office of the Registrar
8800 W Bluemound Rd
Milwaukee, WI 53226
RECIPIENT NAME
INSTITUTION/LOCATION NAME
STREET ADDRESS
CITY, STATE, ZIP
REQUESTOR INFORMATION:
FIRST
M.I./MAIDEN NAME
STUDENT ID# / SOCIAL SECURITY NUMBER
DATES OF ATTENDANCE
DAY PHONE
EMAIL ADDRESS
LEGAL HOME PERMANENT ADDRESS
NUMBER OF OFFICIAL TRANSCRIPTS
TOTAL AMOUNT DUE:
NUMBER OF UNOFFICIAL TRANSCRIPTS
ADDITIONAL INSTRUCTIONS:
SEND TRANSCRIPT IMMEDIATELY
HOLD FOR DEGREE POSTING
HOLD FOR CURRENT SEMESTER GRADES
PRINT REQUESTOR NAME
SIGNATURE
DATE
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WISCONSIN LUTHERAN COLLEGE (Wisconsin Lutheran College)

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Completed 21 July 2020

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