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American Jewish University

Transcript request form

15600 Mulholland Drive, Los Angeles, CA 90077

(* indicates required information)

First Name:*
Last Name:*
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Date of Birth:*

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Address when graduated if different:

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Where to send the transcript:

Current address listed above: Number of copies

School #1: Number of copies

School Name:
Recipient / Department:
Street:

City:

State:

Zip-code:

School #2: Number of copies

School Name:
Recipient / Department:
Street:

City:

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Zip-code:

School #3: Number of copies

School Name:
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Authorization Signature Required: I authorize that all above information is correct and I authorize the release of my transcripts as directed on this AJU Transcript Order Form.

Signature:* Date:*

TYPE OF REQUEST (Total copies requested 0)

Regular

$10.00 per copy X 0 = $0.00

Mailed out within 7 to 10 business days, not including weekends or holidays

Rush

$20.00 per copy X 0 = $0.00

Mailed out the next business day if requested by 3:00 p.m.

IF YOU ARE REQUESTING TRANSCRIPTS FOR SOMEONE OTHER THAN YOURSELF, WE MUST HAVE WRITTEN PERMISSION FROM THE STUDENT. TRANSCRIPT REQUEST WILL NOT BE PROCESSED WITHOUT STUDENT SIGNATURE.