Revised June 2012
Transcript Request Form
INCOMPLETE FORMS MAY DELAY PROCESSING
Transcripts will be held for 30 days and then destroyed; if destroyed a new transcript request and payment will have to be submitted.
Current students who are actively attending DSU during the term of the request are entitled to 5 free transcripts throughout their whole UG/GR academic career.
Your entire academic record will be sent per request.
Receipt # __________________
Amount $__________________
Personal Information:
DSU ID #___________________or SSN# ______________________
Name: ________________________________ Name used while attending________________________
(First, Last, Middle Initial)
Date of Birth: __________________________
(Month, Date, Year)
Dates of Attendance: ________________to _______________
(Start Date) |
(Graduation Date) |
Home Address: ______________________________________________________________________
City: _______________________________State: _________________________Zip: ________________
Daytime Telephone: _____________________________
Special Instructions: (PLEASE CHECK ONE OF THE FOLLOWING OPTIONS BELOW)
|
After Grades are Posted: Term |
(Fall _____) |
(Spring_____) (Summer_____) |
|
After Degree is awarded: Term |
(Fall _____) |
(Spring_____) (Summer_____) |
Transcript Delivery Method: (PLEASE CHECK ONE OF THE FOLLOWING OPTIONS BELOW)
Mail (Transcript(s) will be mailed by US Mail in 3-5 business days for a total charge of $10.00)
Hold for pick-up (Available for pick-up in 3-5 business days for a total charge of $10.00)
(If someone other than you is picking it up |
) |
Expedite-Fed-Ex (Orders for Fed Ex overnight delivery will be processed the same day per address if received by 1:00pm ET for a total charge as follows: $30.00 United States, Allow 2-3 business days: Canada/Mexico for $35.00, and International for $45.00)
Same Day Pick-Up (If Transcript Request(s) is received on the business day by 1:00 pm ET it will be available for pick-up within 2-3 hours after receipt for a total charge of $20.00)
Recipient Information (Fill out a separate request for each address where transcript(s) will be mailed):
Number of Copies Requested:
Organization/Name ____________________________________________________________________________
Address (Street Address only, no PO Boxes for Fed Ex) _________________________________________________
City _________________________State___________Country___________________ZIP Code_________________
Student Signature: ____________________________________ Date: _________________________
Note: A transcript will not be released if you have any current holds on your account, so please check your account prior to making a payment and submitting this form. In accordance with federal law, records will not be released without the student consent. *DURING BUSY PERIODS, SUCH AS REGISTRATION, PRE-REGISTRATION, FINAL EXAMINATIONS, COMMENCEMENT, AND SPECIAL PROJECTS, ADDITIONAL TIME WILL BE NEEDED. WE APPRECIATE YOUR PATIENCE.*
Attn: Records Department I 1200 N. DuPont Hwy. Dover, DE 19901 I PHONE (302) 857-6375 I FAX (302) 857-6379
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Delaware State |
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Transcript Delivery |
University & National |
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Methods |
Student |
Time |
|
ClearingHouse Fees |
|
|
|
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Mail |
$10.00 |
3-5 Business Days |
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|
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Hold for pick-up |
$10.00 |
3-5 Business Days |
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|
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Expedite (Per Address) |
|
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A. United States |
$30.00 |
Overnight |
B. Canada/Mexico |
$35.00 |
2-3 Business Days |
C. International |
$45.00 |
2-3 Business Days |
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|
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Same Day Pick-Up |
$20.00 |
Same Day |
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Applying Online:
Go to the National Student ClearingHouse web page,
www.studentclearinghouse.org Click on the “Order/Track Transcript”
button and then follow the instructions to complete the order.
Attn: Records Department I 1200 N. DuPont Hwy. Dover, DE 19901 I PHONE (302) 857-6375 I FAX (302) 857-6379