Request a Transcript Form


Instructions: Complete the following form and click on the "Display for Printing" button. A printable form will be displayed containing all the required information for a transcript request. Print the form using the Print function on your web browser, sign the form and mail or fax to the address/fax number below. If you are not a current Culver-Stockton College student, a $5 fee + mailing costs is required for each transcript sent.
Mailing Costs
USPS Regular Mail - Included in cost of transcript
USPS Priority Mail - $10.00 per address (Requests timestamped after 11:00 a.m. CST will be processed the next business day.)
International Mail - $30.00 per address minimum

Transcripts will be released upon successful payment.
NOTE: Faxed or emailed transcripts are not considered official.

Registrar's Office * Culver-Stockton College * #1 College Hill * Canton, MO 63435 * Fax: 573-288-6616


* First Name:
* Middle Name:
* Last Name:
Maiden Name:
Other Former Name:
 
Student ID Number:
* Date of Birth:
 
Home Address
* Address 1:
Address 2:
* City:
* State:
* Zip:
 
Please enter a phone and/or email where we can reach you promptly in the event of an error in sending the transcript.
* Phone:
E-Mail Address:
 
 
* Payment:
Check
Cash/Money Order
Credit Card
 Card Type:
 Card #:
 Card Code
(3-4 digit number back of card):
 Exp. Date:
 
Send Transcript To:
# of Copies Needed:
* Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
Fax:
Email:
 
 
* Reason for Request:
Graduate School
 Field of Study:
Applying for a teaching position
Applying for a non-teaching position
Transfering to a different school
 School Name:
Other:
 
If you are planning to transfer, please state why:
Any other special instructions: