Transcript Evaluation Request for Respiratory Care Applicants

Prospective students should complete this form prior to sending transcripts to the KU Respiratory Care program. Unofficial transcripts will be reviewed on a provisional basis.


First Name		Last Name

Other name(s) under which your records might be found		Email Address Telephone Number:

Current Mailing Address


Educational Background

Major		Degree
Total Number of credit hours completed

Please indicate all colleges or universities previously attended:
Institution 1		Name of college/university
		Location
		Dates attended

Institution 2		Name of college/university
		Location
		Dates attended

Institution 3		Name of college/university
		Location
		Dates attended
Official transcripts must be sent directly to the following address KU Respiratory Care Education Mail Stop 1013 3901 Rainbow Blvd. Kansas City, KS 66160 Please double-check your email address for accuracy before submitting!