Student ID or SSN: ____________________________________________________ Name: ____________________________________________________________

advertisement
TRANSCRIPT REQUEST
Registrar’s Office
Alverno College
PO Box 343922
Milwaukee, WI 53234-3922
414-382-6370
Fax: 414-382-6478
Please call after faxing to ensure
your request was received
registrar@alverno.edu
Student ID or SSN: ____________________________________________________
Name: ____________________________________________________________
Previous names:_________________________________________________________
Street Address: _________________________________________________________
City:_________________________________State:_______________ Zip:___________
Phone: _________________________________________________________
Signature: __________________________________________Date:___________
________ Number of Transcripts/FEE DUE AT TIME OF REQUEST
_____Standard service (24-48 hours-$5 per transcript; mailed or picked up)
_____Rush service (usually within 1 hour-$10 per transcript; mailed or picked up)
Select one (if being picked up or mailed to you):
__Place transcript in sealed envelope
__Stamp Issued to Student
Select one:
__Hold for semester results
__Pick up (if another person is picking up, list name of person-person must show photo id)
__Mail immediately
Mail to (Name And Address of Recipient):
____________________________________________________________________________________
____________________________________________________________________________________
We accept cash, check, or credit card. If paying by card:
Number________________________
Expiration date:_____/__________
CVV: __________
OFFICE USE
ONLY
Amount Paid_____
Holds Checked___
Date___________
TRRQ _________
Download