Transcript Order Form (Please fill out, print, sign, and return)

Last M. (Maiden) First

Signature ______________________________ Date (mm/dd/yyyy)


City State Zip

Phone Social Security Number/NetID
Date of Birth Email Address

Mail And/or Fax Transcript To:

Mail this transcript (s) at once

Mail this transcript (s) when grades for current term are available.
         Fall          Spring         Summer       

Mail transcript(s) when Degree/Certificate is conferred.


Pick-up on:

Currently Enrolled in the College/School of:
Not Currently Enrolled        Last attended: Month Year
Number of Transcripts this request:

Special Instructions:

Creighton University
Office of the Registrar - Creighton Hall, 226
2500 California Plaza - Omaha, NE 68178
Fax - 402.280.2527

*No charge for transcripts*
As a service to current and former students, Creighton University does not charge for transcript requests.
This information is provided with the understanding that the recipient, if other than the student, will not disclose
the information to any other party without prior consent of the student as required by the Family Education Rights and Privacy Act of 1974.
Fill out separate request for each address. YOU ARE RESPONSIBLE FOR A COMPLETE ACCURATE ADDRESS.