ETSU - Request for Transcript

Transcript Request Form

If you have attended ETSU since Fall 1991 you may request your transcript through GoldLink.
Please complete one request form for each address to which you want your official transcript send.
For College of Medicine (MD) transcripts, click here.

Student Information:

Student ID Number:
Last Name:	Middle Name:
First Name:	Maiden Name:

Current Address:	City:
Zip:	State:

Area Code and Phone:	Date Of Birth:	ex. mmddyyyy

Transcript Information:

Last Month/Year Enrolled:	ex. mmyyyy
First Month/Year Enrolled:	ex. mmyyyy
Number of Transcripts Needed:

Did You Graduate? :	Yes No
Hold For Current Term Grades? :
Hold For Degree Statement? :
Urgent? :

Mailing Information:

Leave this section blank if you wish to pick up your transcript.

Name:
Address Line 1:
Address Line 2:		City:
State:		Zip:

Credit Card Information:

Only if you are having an unofficial transcript faxed.

Type:
Expiration Date:	ex. mmyyyy
Credit Card Number:
Name on Card:

Signature:

Sign and mail this form to:

The Registrars Office
P.O. Box 70561
Johnson City, TN 37604

or fax this form to: 423-439-6604