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
2500 California Plaza - Omaha, NE 68178
Fax - 402.280.2527

Fill out separate request for each address. YOU ARE RESPONSIBLE FOR A COMPLETE ACCURATE ADDRESS.