Transcript Request      

Please Print

Student ID#               ____________________________________________

Name of Student        ____________________________________________

Address                     ____________________________________________

City, State, Zip           ____________________________________________

Signature                    ____________________________________________

Check One:   _____ Undergraduate  _____ Graduate  _____Ph. D.  _____D.O.T.

When did you attend NJIT? __________________Date of Birth__________________

Hold until this semester's grades are posted_____    Hold until graduation is posted_____

Please send ___copies of my transcript to the recipient below. Include a complete address, name

and separate form for each request.

Please Print Plainly__________________________________________________________________________________

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There is no fee for regular transcript processing.  Regular processing takes 10 business days.  The fee for 24 hour processing is $20.00.  The request for 24 hour processing must be received by 2:30PM.  Only unofficial transcripts will be issued to students.  Transcripts cannot be issued until all outstanding debts to NJIT have been paid.

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If requesting 24 hour processing, this form must be taken to the Bursar's Office for payment of fee.

Date rec'd______________________________                                           Receipt No. __________________________________

Fee Paid ______________________________                                            Date Sent    __________________________________

Revision Date 11/22/05