LONGWOOD UNIVERSITY
REQUEST FOR UNOFFICIAL TRANSCRIPTS
TO THE ADDRESS BELOW:
Registration Office
Longwood University
201 High Street
Farmville,
VA 23909
**Please Print Legibly and Clearly**
Illegible handwriting can cause processing errors and delays.
Student's Current Name:
_____________________________________________________________________________________
Last
First
Middle
Maiden or Former Name(s):
___________________________________________________________________________________
Last
First
Middle
Id number (Lnumber): ___________________ Date of Birth: ___________________
What Years Did You Attend? _____________________
Your Home Address:
_________________________________________________________
_________________________________________________________
City State
Zip
Home Phone: _____________________ Cell Phone: ________________________ Business
Phone: __________________________
E-mail:
____________________________________________________________
Unofficial transcripts can be mailed or picked up. Longwood University does not fax transcripts.
The address where the unofficial transcript should be sent:
Name:
__________________________________________________________
Address: __________________________________________________________
__________________________________________________________
__________________________________________________________
City State
Zip
[ ] Send Now Hold for Grades: [ ] Fall
[ ] Spring [ ] Summer [ ] Degree
Posting (Expected Grad Date): _______________
[ ] Unofficial (student
copy) - no charge
No. Copies ___________
Student's Signature:
__________________________________________
Date: _____________________________