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Request Transcripts Sent to Employer or Other Individual 

Please type in the information below, print it out, sign it and submit it to the Records and Registration Office by mail or fax. This request must be signed. There is no charge for transcripts, and typically they are issued within 48 hours when submitted during regular business hours. Required information is noted with an asterisk *. 

Mail to: Transcript Request 
St. Ambrose University 
Records and Registration Office 
518 West Locust Street 
Davenport, Iowa 52803

Fax to: 563/333-6206

Personal Information
* Current name: 
Names used while enrolled at SAU: 
Maiden/Birth name: 
* Last four digits of SSN or student ID number: 
* Permanent address: 
Add'l street info: 
* City, State and Zip: 
* Email address: 
Phone number: 
Birth date: 
* Number of transcripts needed: 
Enrollment Status
Are you currently enrolled at St. Ambrose? 
No --> When did you last attend? (month and year) 
Yes --> If you are currently enrolled, when would you like transcripts sent?
Send immediately
After grades are posted for the 
After degree is posted
NOTE: By checking "after grades" and/or "after degree boxes, transcripts will be held until the term indicated is completed. If transcripts are to be sent now, leave the boxes unchecked. 
Send Transcripts To
* Name of institution or organization: 
Dept. or attention to: 
* Street: 
Add'l street info: 
* City, State and Zip: 
NOTE: Financial obligations to the college must be satisfied before a transcript will be issued. Transcripts will normally be issued within 48 hours. Please allow at least one week following the end of each term. 



Signature __________________________________  Date ______________

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St. Ambrose University
518 W. Locust Street
Davenport, Iowa 52803
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