Transcript Request (Please print this page and send to the address below)

Office of the Registrar (WRTS)
8290 Stardust Tr
Flagstaff Az 86001

Dear Registrar:
I am requesting that you send an official transcript of my academic record to (name & address of receiving institution):

Personal Information (please print):
Name:

Social Security #:

Mailing Address:

City, State, Zip Code:

E-mail address:

Dates Attended RTS:

Year of Graduation:

Date of Request:

Phone Number:

Signature:

My payment of $5 for each transcript requested is enclosed with this request. (payable to “WRTS”). Thank you for your assistance.