TRANSCRIPT REQUEST FORM

DATE:        SS#        STUDENT ID#

NAME:
First:  Middle:   Last:

Other names under which your record may be stored: 

ADDRESS:
Street:            Apartment:
City:           State:          ZIP:

TELEPHONE:  (in case we need to contact you)

-Select- Official copy Unofficial copy

-Select- Send immediately Hold for current grades

-Select- Undergraduate Graduate Excel

NAME (Person or department):

ADDRESS:
Street:     Apt/Unit:
City:         State:          ZIP:

FAX#:  

Please print out the completed form,
sign it and return it to:

Office of the Registrar
Huntington University
2303 College Avenue
Huntington, IN 46750
Fax (260) 359-4086
 

_______________________________
STUDENT'S SIGNATURE