Transcript Order Form (Please fill out, sign, print and return)
Name:
Last
M.
First
Signature ______________________________ Date (mm/dd/yyyy)
Address
City State Zip
Phone
Social Security Number/NetID
Date of Birth
Mail Transcript
To:
Mail this transcript (s) at once
Mail this transcript (s) when grades for current term are available.
Fall
Spring
Summer
Mail transcript(s) when Degree/Certificate is conferred.
-OR-
Pick-up on:
Currently
Enrolled in the College/School of:
Not Currently Enrolled Last
attended: Month
Year
Number of Transcripts this request:
Special Instructions:
Creighton
University
Office of the Registrar
Administration Bldg, 226
2500 California Plaza
Omaha, NE 68178
As a service to current and former students, Creighton University does not charge for transcript requests.
the recipient, if other than the student, will not disclose
the information to any other party without prior consent
of the student as required by the Family Education Rights
and Privacy Act of 1974.
YOU ARE RESPONSIBLE FOR A COMPLETE ACCURATE ADDRESS.
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