Request Transcript

Cleveland University-Kansas City will be closed December 23, 2021 to January 3, 2022.
Requests submitted during that time will be fulfilled after January 3, 2022.

Full Name*

First Middle Initial Last

Previous Name

Current Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Date of Birth*

Phone Number*

Email Address*

Enter Email Confirm Email

Attendance Start Date*

Attendance End Date

Graduation Date

Campus*

Kansas City
Los Angeles

Send Records To:

Current Address
Company/Agency

Company Name*

Contact Name*

Send Records To:*

Only one address per request.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Add Any Delivery Instructions

Request Action*

Issued Now
Held for Degree Posting

Purposes*

Transferring
State Licensure
Scholarship/Student Loans
Graduate School
Other

Other Purpose*

Product Name

Document Request*

Certified Diploma Copy (CHS)
Certified Diploma Copy (DC)
Original Duplicate Diploma (CHS)
Original Duplicate Diploma (DC)

Delivery Options*

Domestic
International +$65.00

Expedited Delivery?

Expedited 24-hour turnaround (Domestic).
Available Daily M-F, 8am- 5pm.

Yes

Total Amount Due

$0.00

Initials*

By typing in my initials below I verify that I am the person to whom the requested records belong, and authorize Cleveland University-Kansas City to release them to the above indicated institution or individual.

Hidden

Name on Credit Card

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

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