Professional Documents
Culture Documents
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:_____________________________________________________________________________________________