Microsoft Word - Transcript Request Form.docx

TRANSCRIPT REQUEST FORM

Payment of $7 per transcript can be made by check or money order, payable to CUNY GSUC, and sent to the address above.

Cash and electronic payment can be arranged with the Bursar: bursar@gc.cuny.edu. Transcripts sent to another CUNY campus

or Interfolio are free of charge. All financial holds and other obligations must be met before transcript requests are processed.

________________________________________________________________________ _______________________________

Name: Last, First, MI Empl ID (CUNYfirst ID) OR Banner ID

________________________________________________________________________________________ _XXX-XX-____________________________

Name while attending, if different: Last, First, MI OR Last four digits of SSN

_______________________________________________________________________________________ ______________________________________

Email address Phone #

________________________________________________________________________________________ ______________________________________

Academic Program Degree Type and Date

________________________________________________________________________________________

_______________________________

Student Signature # of copies requested

Transcripts will be mailed by USPS mail service unless requested for pick up below.

Please note:

Processing time is 2-4 business days. For pick up hours, see our website for office hours.

Check # or Bursar receipt # _______________________

Proof of identification: Valid photo ID (Driverʼs license, State-issued ID, Passport, CUNY GC ID) will be required at time of pick up.

I request to obtain my transcript by Pick Up

If picking up, who will pick up the transcript when it is ready? Self Proxy

If designating a proxy, their name must be specified here: ___________________________________________________________________________

*Designated proxy must have valid photo ID to pick up transcript.

RGSTRAR_files/Forms/Transcript Request Form AR 10.22

Office of the Registrar

365 Fifth Avenue Rm 7201 New York, NY 10016-4309 / p: 212.817.7500 f: 212.817.1627 / [email protected] / www.gc.cuny.edu

STUDENT INFORMATION

TRANSCRIPT MAILING INFORMATION or PICK UP

Office of the Registrar

365 Fifth Avenue Rm 7201 New York, NY 10016-4309 / p: 212.817.7500 f: 212.817.1627 / [email protected] / www.gc.cuny.edu

TRANSCRIPT MAILING INFORMATION or PICK UP

MAILING ADDRESS for more than one request, please attach a separate sheet

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