REQUEST FOR TRANSCRIPT AND AUTHORIZATION TO RELEASE INFORMATION

                                                                                                                                                                               

 

NOTE TO FACULTY: The Southern Association of Colleges and Schools requires that all full-time and part-time members of Texas Christian University faculty present evidence of having earned their highest degree from a regionally accredited college or university.  Additionally, TCU must keep on file documentation of all graduate semester hours completed by each faculty member.  Therefore, please address a transcript request form for each college or university where you earned a graduate degree or graduate credit and return the form(s) to the Vice Chancellor for Academic Affairs.  The form(s) will be mailed to the institution(s) that you have designated.

                                                                                                                                                                                  

A          TO:  REGISTRAR'S OFFICE

D

D            ___________________________________________            IMPORTANT

R

E            ___________________________________________           Enter the name and address of the college

S                                                                                                  or university where you earned graduate

S            ___________________________________________           credit and/or a graduate degree.

 

                                                                                                                                                                                 

 

PRINT OR TYPE THE INFORMATION REQUESTED BELOW

 

Student                                                                                     Social

Name___________________________________________            Security #_________________________________

                (Last)                  (First)                 (Middle)

 

Current

Address_________________________________________  City__________________ State_____  Zip_______

 

 

Dates of

Attendance_________________________________________________________________________________

                                 (At the institution to which this form is addressed)

 

Degree

Earned

and Date___________________________________________________________________________________

 

I, ____________________________________  authorize you to release a copy of my permanent academic record to

      (Signature)

 

Texas Christian University.

 

 

Please send one official copy of my academic transcript to:

 

                Vice Chancellor for Academic Affairs

                Texas Christian University

                P.O. Box 297040

                Fort Worth, TX  76129

 

If possible, please send the transcript immediately and bill me for the cost.