For Office Use Only:
Student Holds
qYes
Explanation_____________________
______________________________
Transcript Request
•
•
•
•
•
•
•
•
•
q No
Transcripts will NOT be furnished to any student or alumnus whose financial obligations to the University are not satisfied.
No transcripts will be released to/for anyone except the student, unless appropriately requested in writing by the student.
Transcripts are NOT available the same day as requested. Allow three to five business days for requests to be filled.
Clemson University does not issue or reproduce transcripts from other institutions. Requests for transcripts of work taken at another
institution must be directed to that institution.
Once issued, transcripts will not be revalidated.
Clemson University does not fax or email transcripts.
Transcripts must be paid for upon request.
Transcripts for pick up are shredded after 60 days.
Once processed, transcript requests cannot be altered or cancelled.
SS#:
nnn-nn-nnnn OR
Today’s Date: ________________________________________ Clemson ID#:
C
nnnnnnnnn
Birth Date:___________________________________________
Legal Name: ________________________________________________________________________________________________
(Please Print)
(Last)
(First)
(Middle)
Former name(s), maiden, previous marriage, etc. if applicable
Mailing Address:_____________________________________________________________________________________________
City: _____________________________________________________________ State: ___________ Zip: __________
E-mail: _____________________________________________________________________________________________________
Are you currently enrolled?
nYes
nNo Dates of enrollment: From:___________________ To:___________________
I would like my transcript (check one):
Other information: _____________________________________
nSent now
nPicked up (photo ID required)
n Held for current semester grades_______________________
n Held until degree is conferred_________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
Transcripts are $12 each. Total transcripts requested: ________
Check or money order should be made payable to Clemson University. Check number: ________
STUDENT’S SIGNATURE (REQUIRED BY LAW): __________________________________________________________
Mail ______ Transcript(s) To : (Write any additional addresses on page two of this form.)
Name/School/Organization: ___________________________________________________________________________________
Mailing Address: ____________________________________________________________________________________________
__________________________________________________________________________________________________________
City: ______________________________________________________________ State: __________ Zip: _____________________
Please Mail Request To:
Transcript Office
104 Sikes Hall
Clemson, SC 29634-5125
(864) 656-2185 OFFICE
For Office Use Only
COUNTER
Office of Records and Registration
BY
DATE ENTERED
DATE SENT
rev. 09/15
Legal Name: _________________________________________________________________________________________________
(Please Print)
SS#:
(Last)
(First)
nnn-nn-nnnn OR
(Middle)
Former name(s), maiden, previous marriage, etc. if applicable
Clemson ID#:
C
nnnnnnnnn
Mail ______ Transcript(s) To:
Name/School/Organization: ___________________________________________________________________________________
Street Address: ______________________________________________________________________________________________
__________________________________________________________________________________________________________
City: ______________________________________________________________ State: __________ Zip: _____________________
Mail ______ Transcript(s) To:
Name/School/Organization: ___________________________________________________________________________________
Street Address: ______________________________________________________________________________________________
__________________________________________________________________________________________________________
City: ______________________________________________________________ State: __________ Zip: _____________________
Mail ______ Transcript(s) To:
Name/School/Organization: ___________________________________________________________________________________
Street Address: ______________________________________________________________________________________________
__________________________________________________________________________________________________________
City: ______________________________________________________________ State: __________ Zip: _____________________
Mail ______ Transcript(s) To:
Name/School/Organization: ___________________________________________________________________________________
Street Address: ______________________________________________________________________________________________
__________________________________________________________________________________________________________
City: ______________________________________________________________ State: __________ Zip: _____________________
Mail ______ Transcript(s) To:
Name/School/Organization: ___________________________________________________________________________________
Street Address: ______________________________________________________________________________________________
__________________________________________________________________________________________________________
City: ______________________________________________________________ State: __________ Zip: _____________________
Mail ______ Transcript(s) To:
Name/School/Organization: ___________________________________________________________________________________
Street Address: ______________________________________________________________________________________________
__________________________________________________________________________________________________________
City: ______________________________________________________________ State: __________ Zip: _____________________