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Get IL DU Transcript Request Form 2011-2024

Office of the Registrar 7900 West Division River Forest IL 60305 Phone 708 524-6774 TRANSCRIPT REQUEST FORM Fax 708 524-6943 Student Information All required to identify your record Please print clearly Date of request Student ID number Telephone Full Name Full Name while attending Dominican University Current Mailing Address - Street City State Zip Last date of attendance NOTICE The enclosed transcript is being forwarded on the condition that it cannot be released in whole or part to any third party without the written consent of the student in accordance with the Family Educational Rights and Privacy Act of 1974. Due to the Family Educational Rights and Privacy Act of 1974 a student signature is required for release of transcript. X Student Signature PURPOSE OF REQUEST Scholarship application Transfer to another school Summer School/Study Abroad Date CHECK ONE if applicable Hold for current semester grades Hold for graduation information CHECK ONE Employment/Certification Hold for pick-up valid photo ID is required /Quantity Graduate School Mail to current address above /Quantity Other Mail to the following address TRANSCRIPT FEE 5. 00 per transcript CURRENT STUDENTS DO NOT PAY 5 TRANSCRIPT FEE Note You are responsible for the address. Transcripts cannot be faxed* Number of official transcripts to this name and address Name and address Overnight Mail Fee 20 per address Rush Fee 10 per request Pay by cash check or money order. Make checks payable to Dominican University. When faxing a request to 708 524-6943 payments can be made by using Dominican s eMarket link below and selecting transcripts. Please include receipt with your transcript request. https //commerce. cashnet. com/ 20domgem OFFICE USE ONLY Transcript sent Amount paid Please attach a second page of addresses if necessary. Due to the Family Educational Rights and Privacy Act of 1974 a student signature is required for release of transcript. X Student Signature PURPOSE OF REQUEST Scholarship application Transfer to another school Summer School/Study Abroad Date CHECK ONE if applicable Hold for current semester grades Hold for graduation information CHECK ONE Employment/Certification Hold for pick-up valid photo ID is required /Quantity Graduate School Mail to current address above /Quantity Other Mail to the following address TRANSCRIPT FEE 5. X Student Signature PURPOSE OF REQUEST Scholarship application Transfer to another school Summer School/Study Abroad Date CHECK ONE if applicable Hold for current semester grades Hold for graduation information CHECK ONE Employment/Certification Hold for pick-up valid photo ID is required /Quantity Graduate School Mail to current address above /Quantity Other Mail to the following address TRANSCRIPT FEE 5. 00 per transcript CURRENT STUDENTS DO NOT PAY 5 TRANSCRIPT FEE Note You are responsible for the address. 00 per transcript CURRENT STUDENTS DO NOT PAY 5 TRANSCRIPT FEE Note You are responsible for the address. Transcripts cannot be faxed* Number of official transcripts to this name and address Name and address Overnight Mail Fee 20 per address Rush Fee 10 per request Pay by cash check or money order. .

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