Name________________________________________________________________________________________________________________ Last First Middle

Signature (required)___________________________________________________Baylor ID#______________________________ (Must be signed to process request)

Name While Attending Birthdate Dates Attended/Degree(s) Received

Current Address City State Zip Country

Current Phone # Current Email Address

_______Number of copies to be sent to address shown below.

SEND TRANSCRIPT(S) TO: (Please complete one request form per addressee.) Name:______________________________________________ Street Line 1_________________________________________ Street Line 2_________________________________________ Street Line 3_________________________________________ City________________________________________________ State________________Zip____________________________ Nation/Country (if other than USA)______________________

If you are a current Baylor undergraduate, what is the purpose of this transcript request?

Scholarship __ Summer School / mini-mester __ Transfer to another undergraduate institution __ Post-graduate enrollment __ Employment __ Other

BAYLOR UNIVERSITY Request For OFFICIAL TRANSCRIPT Office of the Registrar Attn: Transcripts One Bear Place #97068 Waco, TX 76798-7068 Registrar@Baylor.edu Phone (254) 710-1181 Fax (254) 710-2233

_________________________________________________# Sent ______

Holds: Yes/No Date Rec’d: ___________________

Typ es:_______________________________________________ __________ Special Instructions:

Office Use Only

FedEx Account # (optional) ________________________________________