AUC

Transcript Request




If you are applying for licensure in California, Massachusetts or Illinois the transcript fee is included in the $125 processing fee. Click here to access the form. For all other states please use this request form.
 
(*Required)  
   
*AUC Student ID#:
*First Name:
*Last Name:
*Phone:
*Email:
*Street Address:
Address 2:
*City:
*State:
*Zip/Postal Code:
*Country:
*Matriculation Date:
*Anticipated/Graduation Date:
   
*What is this transcript for?
*Are you currently licensed in any state(s)?
If yes, provide: State
  Lic #:
*Please select the type of license:
   
First Recipient:  
*Name/Title of Recipient:
*Name of Business or Hospital:
*Street Address:
*City:
*State:
*Zip:
   
Second Recipient:  
Name/Title of Recipient:
Name of Business or Hospital:
Street Address:
City:
State:
Zip:
   
Third Recipient:  
Name/Title of Recipient:
Name of Business or Hospital:
Street Address:
City:
State:
Zip: