Full Name:

Name While at Rasmussen (if different):

Social Security Number:

Current Address:

City, State ZIP:

Current Phone:

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Where should we send your transcript?

Attention to: (Organization Name)

Address:

City:

State:

ZIP:

I authorize Rasmussen to release my academic transcript to the organization listed above.

_________________________________________
(signature)

Transcripts are available at no charge to Rasmussen graduates. There is a $5 charge to all non-graduates. Please include a check or money order with your request, if you are a non-graduate.

Transcripts from all Rasmussen College campuses can be located on the student’s respective campus. Academic records for students who attended the College while under a different name or organization can be found accordingly: