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Ofce of Admissions

5665 Plaza Drive, Third Floor, Cypress, CA 90630


Ofce: 800.375.9878 | Fax: 714-276-6589
Email: registration@tuiu.edu
www.trident.edu

TranscriptReleaseAuthorizationForm
StudentInformation:
LastName:____________________________First Name:___________________________Middle Initial_________
OtherNamesUsed:______________________________________SSN (optional):___________________________
Address:__________________________________________________________________________________________
Phone:________________________Email:____________________________Date of Birth:_____/______/19_____

I hereby authorize Trident University to request and process transcript(s) from my high school/GED and
all post-secondary institutions I have attended, including the ones listed on my admission application
and/or discovered by Trident University. Please mail one copy of my official transcript along with this request
form to:

Office of Admissions
Trident University International
5665 Plaza Drive
Cypress, CA 90630
StudentSignature:_________________________________________________Date:_________________________
SignatureAuthorizesReleaseofRecords
If you do not receive notification that your official transcript has been received within 30 days,
please contact us at registration@tuiu.edu

FORTUIUSEONLY
RequestReceived:__________CheckRequested:__________RequestMailed:____________FeeAmount:____________
OtherAction:_____________________________________________________________________________________________

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