REQUEST FOR TRANSCRIPT Office use only (Rev 6/08)
No charge Office of the Registrar Name: __________________
for this service Rensselaer Polytechnic Institute
110 8th St. Date sent:________________
Troy, NY 12180-3590
Phone: 518-276-6231 FAX: 518-276-6180 Email: registrar@[Link]
PLEASE ALLOW 1-2 BUSINESS DAYS FOR PROCESSING REQUESTS
ALL FINANCIAL OBLIGATIONS TO RENSSELAER MUST BE RECONCILED
BEFORE TRANSCRIPTS WILL BE RELEASED
Student ID # : ________ - ______ - ________ Date: _____________________
Name:_________________________________________________ Phone #:___________________
(LAST) (FIRST) (MI)
Dates
Your Signature: ________________________________________ Attended: _________________
RPI (mo/yr-mo/yr)
Email address: _________________________________________
TRANSCRIPT TYPE
OFFICIAL TRANSCRIPT: Students may request one official transcript for personal use
per semester. All other transcripts will be addressed to the agency for which they are
ordered, and mailed by either this office, or by the student.
_________ Process immediately __________ Include attached form
_________ Send after my degree is posted at end of current semester
_________ Send after current semester grades and ranks are posted
UNOFFICIAL TRANSCRIPTS: Quantity _______ (Student may request up to 10
_________ Process immediately unofficial transcripts per term)
_________ Send after my degree is posted at end of current term
_________ Send after current semester grades and ranks are posted
DELIVERY METHOD
CHECK HERE IF YOU WILL PICK UP THE TRANSCRIPTS.
MAIL TRANSCRIPT TO: (Please Print Clearly)
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PLEASE NOTE: TRANSCRIPTS MAY NOT BE FAXED OR EMAILED TO ANY DESTINATION