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TRANSCRIPT REQUEST FORM OFFICE OF THE REGISTRAR LOCK HAVEN UNIVERSITY OF PENNSYLVANIA LOCK HAVEN PA 17745 Completed form may be faxed to 570-484-2734 PRINT -- STUDENT S NAME AND MAILING ADDRESS LHU Student ID If ID is not known indicate SSN used to locate correct record BIRTHDATE PHONE HOME PHONE WORK/LOCAL CELL PHONE area code phone MAIDEN NAME ANY OTHER LAST NAME Email Address CURRENTLY ENROLLED AT LHU YES NO IF NO DATE LAST ATTENDED LHU GRADUATE NO YES/YEAR DATE FIRST ATTENDED LHU SEND TRANSCRIPT NOW HOLD FOR CURRENT GRADES HOLD FOR GRADUATION CLEARANCE HOLD FOR GRADE CHANGE STUDENT S SIGNATURE DATE OFFICIAL TRANSCRIPTS BEARING THE SEAL OF LHU WILL BE SENT UPON COMPLETION OF THE TRANSCRIPT REQUEST FORM. ALL TRANSCRIPTS WILL BE PROCESSED AS OFFICIAL DOCUMENTS* HOWEVER IN ORDER TO BE CONSIDERED OFFICIAL BY OTHER COLLEGES/UNIVERSITIES AND PROSPECTIVE EMPLOYERS THE TRANSCRIPT S IS ARE TO BE SUBMITTED IN THE SEALED ENVELOPE AS RECEIVED BY THE STUDENT. NORMALLY THIS REQUEST WILL BE PROCESSED WITHIN 48 HOURS HOWEVER DELAYS MAY OCCUR DURING PEAK PERIODS* SUBMIT A SEPARATE FORM FOR EACH MAILING ADDRESS* THIS REQUEST WILL BE RETURNED TO YOU UNPROCESSED IF INSUFFICIENT INFORMATION IS PROVIDED OR IF THERE IS A HOLD ON YOUR GRADES FOR FINANCIAL REASONS* THIS FORM WILL BE USED IN A WINDOW ENVELOPE STUDENT IS RESPONSIBLE FOR CORRECT AND LEGIBLE INFORMATION* There is no charge for transcripts. PLEASE SEND TO THE ADDRESS BELOW UNDERGRADUATE TRANSCRIPT S AND/OR MASTER S PROGRAM TRANSCRIPT S OFFICE USE ONLY DATE REC D PROCESSED. ALL TRANSCRIPTS WILL BE PROCESSED AS OFFICIAL DOCUMENTS* HOWEVER IN ORDER TO BE CONSIDERED OFFICIAL BY OTHER COLLEGES/UNIVERSITIES AND PROSPECTIVE EMPLOYERS THE TRANSCRIPT S IS ARE TO BE SUBMITTED IN THE SEALED ENVELOPE AS RECEIVED BY THE STUDENT. NORMALLY THIS REQUEST WILL BE PROCESSED WITHIN 48 HOURS HOWEVER DELAYS MAY OCCUR DURING PEAK PERIODS* SUBMIT A SEPARATE FORM FOR EACH MAILING ADDRESS* THIS REQUEST WILL BE RETURNED TO YOU UNPROCESSED IF INSUFFICIENT INFORMATION IS PROVIDED OR IF THERE IS A HOLD ON YOUR GRADES FOR FINANCIAL REASONS* THIS FORM WILL BE USED IN A WINDOW ENVELOPE STUDENT IS RESPONSIBLE FOR CORRECT AND LEGIBLE INFORMATION* There is no charge for transcripts. NORMALLY THIS REQUEST WILL BE PROCESSED WITHIN 48 HOURS HOWEVER DELAYS MAY OCCUR DURING PEAK PERIODS* SUBMIT A SEPARATE FORM FOR EACH MAILING ADDRESS* THIS REQUEST WILL BE RETURNED TO YOU UNPROCESSED IF INSUFFICIENT INFORMATION IS PROVIDED OR IF THERE IS A HOLD ON YOUR GRADES FOR FINANCIAL REASONS* THIS FORM WILL BE USED IN A WINDOW ENVELOPE STUDENT IS RESPONSIBLE FOR CORRECT AND LEGIBLE INFORMATION* There is no charge for transcripts. PLEASE SEND TO THE ADDRESS BELOW UNDERGRADUATE TRANSCRIPT S AND/OR MASTER S PROGRAM TRANSCRIPT S OFFICE USE ONLY DATE REC D PROCESSED. ALL TRANSCRIPTS WILL BE PROCESSED AS OFFICIAL DOCUMENTS* HOWEVER IN ORDER TO BE CONSIDERED OFFICIAL BY OTHER COLLEGES/UNIVERSITIES AND PROSPECTIVE EMPLOYERS THE TRANSCRIPT S IS ARE TO BE SUBMITTED IN THE SEALED ENVELOPE AS RECEIVED BY THE STUDENT. NORMALLY THIS REQUEST WILL BE PROCESSED WITHIN 48 HOURS HOWEVER DELAYS MAY OCCUR DURING PEAK PERIODS* SUBMIT A SEPARATE FORM FOR EACH MAILING ADDRESS* THIS REQUEST WILL BE RETURNED TO YOU UNPROCESSED IF INSUFFICIENT INFORMATION IS PROVIDED OR IF THERE IS A HOLD ON YOUR GRADES FOR FINANCIAL REASONS* THIS FORM WILL BE USED IN A WINDOW ENVELOPE STUDENT IS RESPONSIBLE FOR CORRECT AND LEGIBLE INFORMATION* There is no charge for transcripts. PLEASE SEND TO THE ADDRESS BELOW UNDERGRADUATE TRANSCRIPT S AND/OR MASTER S PROGRAM TRANSCRIPT S OFFICE USE ONLY DATE REC D PROCESSED. .