| Transcript Request
Official transcripts are sent directly to the institutions
and places of business only. They may not be hand-carried or sent directly
to the requestee. The first transcript is complimentary if it is your very
first request. The cost of a transcript is $2. If you request more than one
copy, the first one is $2; each additional copy is $1.
| Date: __________
Social Security Number:____________________
Student's Name: __________________________
Previous Name: __________________________
Phone Number: __________________________
Last date attended XU: _____
Have you received XU degree: _____
Student's Signature: _______________________ |
|
Please check one for transcript Hold
__ Hold for change of incomplete grades
__ Hold for grade change(s)
__ Hold for degree posting
__ Hold for final grades
|
Credit Card: VISA or MC
Card #: ___________________________
Expiration Date: ____________________
Name on Card: ____________________
FOR OFFICE USE ONLY
Receipt Number _____
$ Amount
_____
Date Mailed _____
Staff Initials _____
|
|
| Number of Copies requested:
Official ___ Student ___ |
| Applicant is responsible for Correct
Address
Mail transcript to:
_______________________________________
_______________________________________
_______________________________________
_______________________________________
Students Address:
_______________________________________
_______________________________________
_______________________________________
_______________________________________
|
Requests for transcripts, along with check or money order (if not paying by credit card), should
be sent to:
Xavier University of LA
Office of the Registrar
Attention: Transcript Clerk
1 Drexel Drive Box #96
New Orleans, LA 70125
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