Complete this form, print, sign, attach check or
money order, deliver to:
Office of Registrar
PO Box 108
Hanover, IN 47243
(as it is listed in our system or on your diploma)
Student's Signature ___________________________ Date
Current Student Unit Number
For each transcript requested, there is a fee of $3.50.
Any student whose college account is encumbered at the time of processing
this form, will not be issued a transcript.
*** Make checks payable to: Hanover College. ***
Other information to include on face of envelope. (i.e.
Attention:, Country Other than USA, Graduate School, etc.)
For Office Use: Amt. Paid ________ Rec'd by: ______
Date Transcript Sent: ______________