Request for Official Transcript Grantham will issue an official transcript only if: 1) the student completes at least one course at Grantham; 2) all financial obligations to the University have been satisfied. Name: Student Number: SSN: E-mail address: Home phone: Work phone: Hold until degree is awarded Yes No Please send an official transcript to the following address (es): There is a $10.00 fee for EACH transcript. ACH BANK INFORMATION All Fields are Required (This option will take an additional 7-10 business days to process.) – Name (s) as it appears on Checking Account: Payment Date: Bank Name: Payment Amount (US Dollars): $ Routing Number: Account Number: I have read and agree to all terms of this bank draft authorization form. Student Signature (Required): X Date: Account Holder signature (if not student): X Date: My signature below authorizes release of my official transcript. Student Signature (Required): _____________________________________________ Date: _________ Please return form by mail to: Grantham University, Attention Registrar, 16025 W. 113th Street, Lenexa, KS 66219
Request for Official Transcript Grantham will issue an official transcript only if: 1) the student completes at least one course at Grantham; 2) all financial obligations to the University have been satisfied. Name: Student Number: SSN: E-mail address: Home phone: Work phone: Hold until degree is awarded Yes No Please send an official transcript to the following address (es): There is a $10.00 fee for EACH transcript. ACH BANK INFORMATION – All Fields are Required (This option will take an additional 7-10 business days to process.) Name (s) as it appears on Checking Account: Payment Date: Bank Name: Payment Amount (US Dollars): $ Routing Number: Account Number: I have read and agree to all terms of this bank draft authorization form. Student Signature (Required): X Date: Account Holder signature (if not student): X Date: My signature below authorizes release of my official transcript. Student Signature (Required): _____________________________________________ Date: _________ Please return form by mail to: Grantham University, Attention Registrar, 16025 W. 113th Street, Lenexa, KS 66219
GU_DOC_Request_Official_Transcript.docx