Delaware Cosmetology Transcript Release Form

Instructions for processing your transcript request (Please print clearly in blue or black ink.):

Your transcripts will not be released if there are outstanding obligations to the School.
Official Transcripts are sent via mail or available for pick up; Unofficial Transcripts are sent via e-mail
Official Transcripts: $10.00 per Copy
A separate request form is required for each address you wish the transcript to be sent.
If graduated prior to 2015, please allow (2-3) weeks for your request to be processed.
If graduated after 2015, please allow 5-10 business days for your request to be processed.
You must have photo identification (driver license or student ID card) when picking up transcript(s) at the counter.

Student Name*
Former Names
Programs Attended*
Request Date*
Date Format: DD slash MM slash YYYY
Date of Birth*
Date Format: DD slash MM slash YYYY
Year Attended*
Contact Phone*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Special Instructions*
- Send Transcript
- For Pick Up
E-Signature*
By printing your name on this line, you are allowing dli to submit your transcript to be sent to the person listed on this form
Send Transcript to
If we're sending your transcript, please specify where it's sent.
Office/Person
College/Organization
Address
Oficial Transcripts*
Price: $10.00 Quantity:
$10 per Copy
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name

Transcript Release Form