TRANSCRIPT REQUEST FORM

                                                                                                            Updated: 5/23/2016

Print this form - complete entire form

Send to:     Registrar, Sacred Heart Seminary and School of Theology,

                   7335 S Hwy 100, P.O. Box429, Hales Corners, WI 53130-0429

Fax to:     Registrar (414-529-6999)

 

NAME:_____________________________________________________________

 

SHST ID# or SS#:_____________________________________________________

 

TELEPHONE: Day_______________________ Evening ______________________

 

EMAIL: ญ____________________________________________________________

 

CURRENT ADDRESS: _________________________________________________

 

___________________________________________________________________

 

___________________________________________________________________

 

___________________________________________________________________

 

 

 

SIGNATURE: ________________________________________________________

 

DATE: _____________________________________________________________

 

If you were enrolled under any other name (maiden, religious, etc.) or have a name change,

please indicate other name below. 

 

___________________________________________________________________________

 

Attended from ___________________ญญญญ_ to _________________________________

 

Degree/Year:  MDiv __________ MA _________ Certificate _________ Other___________

 

Send Transcripts to:  (Name, Address, City, State, Zip required)

(Official transcripts are sent directly to another institution or place of employment only)

(Student copies are not considered official)

 

________________________________________          _______________________________________

 

________________________________________          _______________________________________

 

________________________________________          _______________________________________

 

________________________________________          _______________________________________

 

If additional addresses are to be included, please use the back of this form.

FEES:

  • $10 each for regular service
  • $25 each for rush service (processed within 24 hours of arrival) using U.S. Post Office.
  • $35 each for rush request using FEDEX overnight delivery within the U.S.
  • $60 each for rush request using FEDEX overnight delivery outside the U.S.
  •  

     

    Total Due:

             # of Transcripts requested ___________  X  Fee $__________  =  $___________

     

     

             Payment in the form of: 

                         ___ Check enclosed    Check amount $__________     Check # __________

     

                         ___ Credit Card:          ___MasterCard            ___Visa         

     

                                                             Card # ________/__________/__________/__________

     

                                                             Exp. Date  _________/__________    Security Code ______

                                                            

               Name on Card (please print)________________________________________________

                                                            

                Signature  ______________________________________________ญญ________________