ACADEMIC RECORD TRANSCRIPT REQUEST
STUDENT ADMINISTRATIVE SERVICES
Questions? Call 315-268-6451 (Potsdam Campus) or 518-631-9910 (Capital Region Campus)
No transcript will be prepared for anyone whose financial obligations to the University have not been met.
Union Graduate College alumni with records prior to July 17, 2003 should contact Union College for transcripts.
Student Information
Current Full Name
Former Name (if applicable)
or
Student ID Number
Social Security Number*
Phone Number (required)
Email Address
Check here if you are requesting a Union Graduate College transcript
Transcript Delivery Options & Service Fees
Student Administrative Services issues official Clarkson University academic transcripts in paper copy. Official eTranscripts can be
requested through Parchment, and current students can view their unofficial academic transcript through myCU. More
information and ordering instructions for eTranscripts can be found on our website.
Delivery Method
Service Fee
In-office pick-up (ID required)
Potsdam, NY Schenectady, NY
-
Standard mail
-
+
Priority mail
Must be received by 10:00am for same-day processing
$7.00
+
Priority Express mail
Must be received by 10:00am for same-day processing
$25.00
Total number of transcripts requested:
(limit 5)
Total fee (due now):
+
Priority and Priority Express available for domestic mail only. Please contact SAS if you need rush service to an international address.
Attn:
Hold for current term grades
Address:
Hold for degree certification
Other:
Release Authorization
The Family Educational Rights & Privacy Act of 1974, Public Law 93-380, Section 483 requires the written consent of the student before any information, other than
directory, can be released. By my signature on this form, I am requesting that Clarkson University furnish an academic transcript to the recipient listed.
Student Signature (typed names are not accepted)
Date
Payment Method for Rush Service
Cash or Check (enclosed)
Credit Card*
Type:
MasterCard Visa Discover
Credit Card Billing Address (MUST include Zip Code)
Card Number
CVV
Exp (mm/yy)
Signature (credit cards only)
Date
Return form to:
Potsdam Campus: 10 Clarkson Avenue - Box 5575, Potsdam, NY 13699-5575 | (Fax) 315-268-6452 | sas@clarkson.edu
Capital Region Campus: 80 Nott Terrace, Schenectady, NY 12308 | (Fax) 315-268-2321 | crctra[email protected]
*We strongly recommend that you do not send sensitive personal information (such as social security number) via email. For secure
electronic submission, please use https://filedrop.clarkson.edu and send to the email address associated with your campus
Rev 6/2020
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