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Endorsed Transcript Request
Complete the form below to request your transcript:
*
indicates required information.
*
First Name:
*
Last Name:
*
Name used while at Lesley:
*
Address:
*
City:
*
State:
(Select)
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*
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*
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*
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area code):
(Select Phone Type)
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*
Email Address:
*
7-digit Student Identification Number
(found on your LOIS account, under My Profile)
*
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*
Graduation or Program Completion Date:
*
License Requested:
(Select Level)
All Levels
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(Select)
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If requesting a Professional License, what Initial License do you hold?
Field:
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*
Are you a bachelor's degree student?
(Select)
Yes
No
NOTE: If yes, you must file a Declaration of Intent to Graduate in
order to receive the correct endorsed Requirements Completed Transcript.
If you are currently employed:
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Job Title:
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(private, early child care, etc.):
If you are attending Graduate School:
School:
Program of Study: