Paralegal Program Transcript/Certificate Request Form
Identity Information:
First Name:
Last Name:
Name on previous records (if different)
Please select what you wish to provide on this form:
USD ID#
Last 4 of your SSN
USD ID#:
Last 4 of SSN
Phone:
Email:
Program Details:
When did you attend the Paralegal Program?
Day
Evening
Year:
Term(s)
Spring
Summer
Fall
Graduation Date:
Order Details:
Replacement Certificate: $15 --- Official Transcript: $15 per copy
I am requesting a replacement certificate be sent to myself
I am requesting copies of my official transcript be sent to the address(es) I specify
How many different entities do you wish to send to?
Please select...
1
2
3
Personal Address:
Street Address:
City:
State:
Zip:
Person/School to Send To:
Please send
Please select...
1
2
3
copies of my official transcript to:
Name/School:
Separate envelopes?
Yes
No
Street Address:
City:
State:
Zip:
Person/School to Send To:
Please send
Please select...
1
2
3
copies of my official transcript to:
Name/School:
Separate envelopes?
Yes
No
Street Address:
City:
State:
Zip:
Person/School to Send To:
Please send
Please select...
1
2
3
copies of my official transcript to:
Name/School:
Separate envelopes?
Yes
No
Street Address:
City:
State:
Zip:
Submission and Acknowledgement:
Requests will be honored only if financial obligations to the University have been met.
In compliance with the Privacy Act of 1974, the University of San Diego prohibits any person other than the
student from requesting copies of school records.
Signature:
Date:
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Contact Information