Career Services Credential Request Form

Credentials may be sent by the following methods:

• E-mail (preferred) - $5.00 per request
• Mail (within 48 hours of request) - $5.00 per request
• Fax (same day service) - $10.00 per request

Personal Copy - You may request a personal copy of your credential file, however, each page will be stamped "Student Copy". Any letters of recommendation that have a signed waiver statement (confidential) will not be issued in the personal copy.

Special Handling - A special handling fee will be assessed if you request to have only a portion of your file sent or have additional items sent along with your file.

Transcripts Only - Requests for EIU transcripts ONLY must be made to the Records Office. How to Order a Transcript from the Records Office.

Please complete all fields and submit to Career Services. Please direct questions to 217-581-2412 or email Holly Andrews.

Student/Alumni Information
Name
Maiden or Previous Last Names
EIU E-number (from Panther Card)
Address
City
State
Zip Code
Phone Number
Major
Graduation Date
E-mail Address
Delivery Method
Please choose one:	E-mail Mail Fax
Send Credentials to:
Employer
Contact Name
Contact Title
E-mail Address (for email delivery)
Mailing Address
City
State
Zip Code
Fax Number (for fax delivery)
Employer Phone Number
Credentials Must be Received by:
Check all that apply:	Hold for Student Teaching Evaluation Hold for Transcript from Hold for Recommendation Letter from:
Method of Payment (please choose one)	Bill me Credit Card.       Please call Career Services at 217-581-2412 with credit       card information. Check, made payable to Eastern Illinois University.       Print this form and send with check. DO NOT SUBMIT.