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*A Social Security number is not required but providing it will expedite the processing of your order. The University has a strong commitment to ensuring the privacy and confidentiality of student records and will not disclose any Social Security number w
 

Summary: *A Social Security number is not required but providing it will expedite the processing of your order. The University has a strong commitment to ensuring the privacy and confidentiality of student records and will not disclose
any Social Security number without consent for any purpose except as allowed by law and University policy (see www.ssn.uillinois.edu ).
1 rvsd 11/2010
REQUEST FOR ACADEMIC TRANSCRIPT
UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN, TRANSCRIPT DEPARTMENT
901 WEST ILLINOIS STREET,STE 140 URBANA, ILLINOIS 61801
FAX: (217) 333-3100 PHONE (217) 333-0210
OFFICE USE
The cost of a transcript is $8.00 per copy. Payment by check or charge is due when the order is submitted. Make checks payable to the University of Illinois. Transcripts will be sent via US mail unless otherwise indicated.
Transcripts may also be picked up in person at the Records Service Center. Transcript requests are normally processed within 5 business days from receipt of order. The student's signature is required for release of academic
records. By signing below, the student consents to the release of academic transcripts from the University of Illinois at Urbana-Champaign and/or other University of Illinois campuses. Please type or print clearly. To order
electronically delivered transcripts go to www.registrar.illinois.edu/transcripts/request_electronic.html
NAME:
UNIVERSITY ID# (UIN) DATE OF BIRTH *SS#
CURRENT ADDRESS
Street City Zip
PHONE # E-MAIL Attendance Prior to Fall 1982
Student Signature Hold Transcript For: GRADES DEGREE ATTACHMENT* (Order Processed Upon Receipt)
DELIVERY METHOD MAIL QUANTITY Mail to Student Address Above Quantity Pick-up Quantity
NAME

  

Source: Anastasio, Thomas J. - Beckman Institute for Advanced Science and Technology & Department of Molecular and Integrative Physiology, University of Illinois at Urbana-Champaign

 

Collections: Biology and Medicine