TRANSCRIPT REQUEST FORM
Request from: (Name, Social Security # and Address)
__________________________
__________________________
__________________________
__________________________
__________________________
I, ____________________, give _______________________________________ permission to
(Student’s name)
(School providing transcript)
send _____________ copies of my official transcript to the name and address identified below.
(Number)
Thank you,
__________________________
(Signature, date)
Please send transcripts to:
Pace University
Application Processing Center
861 Bedford Rd
Pleasantville, NY 10570-2799
Please hold this request for:
_____ Grades: FALL SPRING SUMMER (Circle one)
_____ Degree to be posted
_____ Other
** Please follow the procedures of each college/university for submitting this form
to their Records Office. Thank you. **