Transcript Request Form - Fairfax University of America

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Transcript Request Form

Academics
- Registrar’s Office
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- About FXUA
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- International Student Services

To request the FXUA official transcript, please complete the request form below. You will receive your credentials to access the payment portal. Once the Registrar's Office receives the payment confirmation, your transcript will be processed.

Student Name and Current Mailing Address

Name(Required)

First Middle Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone Number(Required)

Student Information

FXUA ID#

Graduated in term/Year(Required)

School Email Address

*** Please Indicate number of transcripts being requested (i.e 1, 2, 5)* :(Required)

Reason for Transcript Request

Reason for Transcript Request (Choose all that applied)

OPT

OPT Extention

DMV

College/University Application

Employment Purposes

RFE for USCIS -Online courses will show on the transcript

Other

Reason for Transcript Request Other

Name and Address of Recipient (printed on transcript)

Leave this section BLANK if you DO NOT want a recipient printed on the transcript

Recipient Name or Institution

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Transcript Processing Type

Transcript Processing Type(Required)

Standard (5 Business Days) | $10 per transcript

Expedited (2 Business Days) | $25 per transcript

Delivery Methods(Required)

I will pick up my transcript(s) at FXUA.--NO ADDITIONAL COST

I authorize the person below to pick up my transcript(s) at FXUA.--NO ADDITIONAL COST

Deliver my transcript to the ISS Office.--NO ADDITIONAL COST

Shipped by Regular Mail (USPS) -No tracking number available.--NO ADDITIONAL COST

Shipped by FedEx/UPS/DHL | Cost: $35 Domestic / $100 International

Name

First Last

Mail the Transcript to the Following Address

Name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number(Required)

Hidden

Additional Note

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Fairfax University of America

4401 Village Drive, Fairfax VA 22030

FXUA is certified to operate in Virginia by SCHEV.

FXUA is accredited by ACICS.

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