Transcript Request Form

Transcript Request Form
Payment
Review

Student's Information

Which school did you attend/are you attending?*

Please indicate which of the two forms of identification you prefer to use*

Title

First Name*

Middle Name

Last Name*

Suffix

Check here if you attended under another name

Date of Birth (M/D/YYYY)*

Contact Information

Email*

Confirm Email*

Contact Phone*

Country*

Address*

City*

State

Zip

Academic Information

Degree Title*

Years Attended (YYYY - YYYY)*

No. of Transcripts Requested*

Click here if you have additional degrees to add

Recipient Information

Please select your delivery method*

Authorization

The following checkbox serves as a digital signature, authorizing Union Theological Seminary in the City of New York to release the official transcript of the aforementioned student's educational records from Union to the individuals and/or organizations listed in this form. It also signifies an agreement to the appropriate charges on the credit card of your choosing resulting from this order.

I authorize Union Theological Seminary to release my official transcript and charge the credit card affiliated with this order.