NORTHERN KENTUCKY UNIVERSITY

Request Academic Transcript from High School/College or University

__________________________________________________

(Name of High School or College)

_________________________________________________

(Address)

__________________________________________________

(City, State, Zip Code)

To Whom It May Concern:

Please forward a copy of my official academic transcript to:

                                            Northern Kentucky University

                                            Office of Admissions

                                            Nunn Drive

                                            Highland Heights, KY 41099

Name __________________________________  Signature ________________________________

Social Security Number _____________________  Date of Birth ____________________________

Dates of Attendance ________________________________________________________________

I am enclosing a check or money order for the transcript fee in the amount of $ ___________________.

Thank You.

Sincerely,