Instructions: Please type/check the appropriate response in the space provided. After the form is complete, please print and sign the form
and Mail to: Registrar's Office, 403 Main Street, Box 4271, Grambling, LA 71245, Fax to (318) 274-2777 or email request to
rushingey@gram.edu. Please allow 1 to 3 working days for processing. For questions or comments please call (318) 274-2612.
403 Main Street, Box 4271 • Grambling, LA 71245
Office (318) 274-2385 • Fax (318) 274-2777 • www.gram.edu
GRAMBLING STATE UNIVERSITY
REGISTRAR’S OFFICE
Official Transcript Request Form
(No fee required for transcripts-Maximum of Two Transcripts per request)
Send Immediately Send After Final Grades are Posted Place in sealed envelope Forward electronic copy
*************************STUDENT INFORMATION***********************
Did you graduate? Yes _____ No _______ Date of Graduation
Are you currently enrolled: If not, indicate last attendance date:
Student Signature:
F
O
R
W
A
R
D
T
O
First M. Maiden Last
Current Mailing Address
City State ZIP
( ) -
Student ID Number (Gxxxxxxxx)
Date of Birth
Date of Request
Number of transcripts requested
OFFICE USE ONLY
Date mailed: _______________ Staff Initials: ________
If denied, Reason:
_____ Incomplete Credentials (Graduate Studies) - (318) 274-2158
_____ Incomplete Credentials (Undergraduate) - (318) 274-6423
_____ Financial Hold- Contact Student Accounts (318) 274-2662
_____ Special Hold- _________________________________________________________
Revised 1/9/18 pjh
Requestor will: (please check only (1) box)
Pick up from 10-11:30 a.m.
Pick up from 3:30-5 p.m.
Please show picture ID.
Print
click to sign
signature
click to edit