Forms

Academic/Administrative Petition
Complete this form if you are requesting to exceed the course limit, request an extension, or to
waive academic or administrative regulations.

Business Office Petition
Complete this form if you are requesting an exception to the refund policy, fees charged, deadline
obligations, the standard payment plan duration, or to the registration with no past due balance.

Change of Address
Complete this form if you are a current student or Alumni and any or all of your contact information
needs to be updated.

Incomplete Course Contract
Complete this form if you would like to receive an Incomplete in a particular course.

Intent to Graduate

Complete this form within one (1) semester prior to your graduation date.
The $150 Graduation fee must be submitted with this form.

Leave of Absence Request

Complete this form if you would like to request a Leave of Absence for compelling reasons.
Students may take one Leave of Absence for a maximum of one (1) year.
A leave is not granted to students with an outstanding balance on their tuition account or with outstanding unpaid fees at the Phillips Library.
For more information please refer to the catalog.

Name Change

Complete this form if you are a current student and have recently had a name change.
Supporting documents required.
Alumni records names cannot be changed but we can add a preferred name to your records.

Program Modification

Complete this form if you would like to Add or Drop a course, change class day, change programs, or add a concentration.

Request for Diploma Replacement

Complete this form if you need to replace your diploma.
Supporting document required if there is a name change.
Please note that replacement diploma will say “Duplicate”
Diploma replacement fee $75

Student Verification

Complete this form if you need your enrollment or degree verified.
Enrollment & Graduation information can be verified though the National Student Clearinghouse.

Transcript Request

If you are an alumni who graduated before May 1984, you will need to contact Azusa Pacific University. To request a transcript click here or contact Sam at (626) 815-6000 ext. 4608
Depending on your graduation date, it is possible that you might need to request transcripts from both schools.
If you are a current student or Alumni (May 1984 - 2011) and would like transcripts.
It is the student’s responsibility to clear all holds on his or her account before submitting a transcript request. An outstanding financial balance or a loan exit interview hold will delay or prevent a request from being processed.
For security purposes, we do not fax transcripts. Only official transcripts only will be issued.
Transcript Request Form - (Download PDF Version | Fill Out Request Online)

Request Options:

Rush
Processing time is 2 business days
Cost is $20 for the first copy and $5 for each additional copy
Non-rush
Processing time is 10 business days
Cost is $10 for the first copy and $5 for each additional copy

Transcript requests can be submitted:

Fax to: (818) 386-5636 (no cover sheet necessary)
Scan and email: kguilfoil@pgi.edu
Mail to:
Phillips Graduate Institute
19900 Plummer St.
Chatsworth, CA 91311
Attn: Transcript Request

Processing time is the time it takes our office to prepare your transcript. This does not include mailing time.
We cannot guarantee your transcript’s arrival or the time it will take to reach its destination once it has left our campus.
All transcripts are mailed via US Postal Service unless requested otherwise. (Additional charges may apply.)

Withdrawal Request