Emmaus Transcript Request

Emmaus University Transcript Request

Official and unofficial transcripts can be requested from the Registrar's office by submitting the form below or by completing and mailing in a paper request form.* The fee for both official and unofficial transcripts is $5 per copy. Please allow 3 to 5 days for transcripts to be processed. Transcripts will not be released if you have past due financial obligations to the College, such as unpaid tuition, fees, or fines.
Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Date
Are you a current Emmaus student?*

YesNo
Did you have a different name while at Emmaus? (e.g. your maiden name)*

YesNo
Previous Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Emmaus Attendance Start Date*

MonthDayYear
Date
Emmaus Attendance End Date*

MonthDayYear
Date
Transcript Information

Please provide information on where you would like your transcript sent.
Name/Organization*
How would you like your transcript sent?

Mail (Official Transcript)Email (Unofficial Transcript)
Mail transcript to:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email transcript to:*
example@example.com
Transcript Agreement

Transcripts of academic records are released only by a signed request. By providing your electronic signature below, you affirm that you are the individual listed above and the information you have provided is accurate and true to the best of your knowledge.

*If you prefer to submit a paper request through the mail, you can download and print it here. Mail the completed form, along with a check or money order for the required $5.00 transcript fee for each copy requested, to:

Emmaus University
Registrar's Office
2570 Asbury Rd.
Dubuque, IA 52001

Please allow 3 to 5 days for transcripts to be processed. Transcripts will not be released if you have past due financial obligations to the College, such as unpaid tuition, fees, or fines.
By signing below, I certify that I am the student submitting this request. I recognize that §99.30 of the FERPA regulations requires that a student provide a signed, dated, written consent before an institution discloses information from the student's education record. Forgery of this document is a Federal criminal offense that is punishable as a felony in all 50 states.*

I accept
Signature of Student*

Clear

Transcript Request Fee*

Official Emmaus Transcript (Mail)$5.00

Quantity
Item subtotal:$0.00

Unofficial Emmaus Transcript (Email)$5.00

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

Should be Empty:

Emmaus University Transcript Request

Transcript Information