Print this Transcript Request Form and send to:
| Registrar’s Office | Rush request: processed the same day received – if received by noon |
| St. Olaf College | ($10.00 per transcript) sent regular USPS mail |
| 1520 St. Olaf Ave. | Regular request: processed within 2-3 business days of receipt |
| Northfield, MN 55057 | ($5.00 per transcript) sent regular USPS mail |
| 507-786-3006 Fax: 507-786-3210 | Paracollege Evaluations: additional $5.00 per set |
Name
Last (include name while student at St. Olaf) First Middle
Current Address
Street/City/State/Zip
Daytime Phone Number Student Number (if you remember)
Birth Date SSN Last Date Attended ____/____/____
______________________________________________________
Signature (required): I hereby authorize St. Olaf College to release my official academic transcript
Payment can be made by cash, check, money order (made out to St. Olaf College) or Visa/MasterCard
Number of Transcripts: ____ x $5 each regular processing or $10 each rush (same day) processing (see above)
Include Paracollege Evaluations? [ ] yes [ ] no Add additional $5.00 per set to transcript cost.
Send Now [ ]
Send after ________ Term grades are posted / After degree is posted ___
Amount Enclosed: $______________ [ ] Cash [ ] Check [ ] Money Order (payable to St. Olaf College)
Credit Card Payment: [ ] Visa [ ] MasterCard Total Amount to be Charged $__________
(Debit Card not accepted)
Card Number: ___ ___ ___ ___-___ ___ ___ ___-___ ___ ___ ___- ___ ___ ___ ___
Exp. Date ___/___
Print Name exactly as it appears on your credit card:
Billing Address of credit card: ___________________________________________________
(must include house no. and/or building no. AND zip code)
Signature: Today’s Date:
(required)
| Mail to: ____________________________________________________________ | Mail to: ________________________________________________________________ |
| ____________________________________________________________ | ________________________________________________________________ |
| ____________________________________________________________ | ________________________________________________________________ |
| ____________________________________________________________ | ________________________________________________________________ |
Use back of this form for any additional mailing addresses, transcripts are not faxed.