Official Transcript Request Form

Official Transcript Request Form

Please complete every field so the Registrar's Office can locate your records and process your request. A $20.00 fee is applied for each transcript request.. Please allow 1–2 weeks for processing.
CICA-International University & Seminary
111 North Orange Avenue, Suite 800, Orlando, FL 32801

Email: cicainternationaluniversity@cica-chaplaincy.org
Website: www.cica-international.org

Office Contact: (347) 500-8085
Student Full Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Email Address
example@example.com
Confirm Email Address
example@example.com
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip CodeCountry
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Degree/Program
Field (e.g., Theology, Divinity, Ministry, Counseling)
Graduation Date /Year
Notes / Special Instructions
I hereby authorize CICA-International University & Seminary to release my official transcript as requested above.
Student's Signature
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate

Transcript fee

$20.00 Quantity

Total