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Transcript Request Form

To request an official transcript, print out and complete form below, sign on the appropriate line, and send the form (along with any applicable fees) to: Office of the Registrar, Aurora University, 347 S. Gladstone, Aurora, IL 60506-4892. Before completing this form, please read the Regulations Governing the Issuance of Transcripts. The first two transcripts ever requested are free of charge; all others will be issued at the rate of $8.00 per transcript. All over-the-counter transcripts — defined as same-day service — will carry a charge of $15.00 per transcript and can only be procured in the Registrar's Office. If you have any questions, please call 630-844-5464 or fax 630-844-5463.

Information about the student
(Please print: You will receive confirmation at this address)


Student Name_____________________________________________________________________


Address__________________________________________________________________________


City/State/Zip______________________________________________________________________


I approve of the release of my transcript


Student Signature__________________________

Date___________________


Send Transcript To
(Please print — Include office and/or name if possible)


Institution_________________________________________________________


Attn: Office or Individual______________________________________________


Address__________________________________________________________


City/State/Zip______________________________________________________


Complete All Information Below


___ Aurora College/University
___ George Williams College
___ Number of copies


Please send transcript: (check one)
___ Now
___ After current term's grades are posted
___ After degree is awarded


Date of Birth______________________


Social Security Number____________________


Approximate Dates of Attendance______________________________________________________


Maiden name or other name under which you attended_____________________________________

Current phone/area code_______________


Current work phone/area code__________

Cell phone/area code_______________

 

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