Request an Unofficial Transcript Online

Request an Unofficial Transcript
Student Name:*

PrefixFirstLastSuffix
Date last enrolled:*

MonthDayYear
Name has CHANGED since being a student at Elim:*

YesNo
If so, name during time at elim:*

PrefixFirst NameLast NameSuffix
BIRTH DATE:*

MonthDayYear
Last 4 DIGITS of SSN *
How would you like the unofficial transcript sent?*

Emailed (No fee, emailed only to student)Mailed U.S. Domestic ($15 Fee)Mailed Internationally (Fee to be determined)
How many transcripts do you need?
To have an unofficial transcript emailed or mailed, complete information below.

Please note unofficial transcripts will be provided to the student only and not any third party.
Your Personal Email:*

Confirmation Emailexample@example.com
Phone:*
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
1) Email*
example@example.com
1) RECIPIENT Name:*
1) To the Attention of:
1) RECIPIENT Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
2) Email*
example@example.com
2) RECIPIENT Name:*
2) To the Attention of:
2) RECIPIENT Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
3) Email*
example@example.com
3) RECIPIENT Name:*
3) To the Attention of:
3) RECIPIENT Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

My Products

Unofficial Transcript - Mailed US Only

$15.00 Quantity

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Transcripts will not be released to/for anyone except the student, unless appropriately requested in writing by the student [The Family Educational Rights and Privacy Act of 1974 as amended].

Allow 10 working days for processing.
Comments:
Check box to verify*

I am the student requesting this transcript, and the following is my signature.
Signature

Clear
Please verify that you are human*
Should be Empty:

Request an Unofficial Transcript