Transcript Request

Transcript Request
1. Transcripts will not be processed if form is incomplete. There is no charge.

2. Transcripts require a minimum of 5 day turnaround time. Transcripts prior to 2013 may be archived and need additional processing time.

3. Official transcripts may not be released if a balance is owed to the college.
Date of Request*

MonthDayYear
Date
Student Name:*

First NameLast Name
Email:*
example@example.com
Name while attending school if applicable:

First NameLast Name
Student Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Program:*
Date of Birth: *

MonthDayYear
Date
Calendar Year Attended:*
Last 4 Digits of Social Security Number:*
Please mail my transcript to: (provide name of company/school and address) otherwise it will be mailed to above address:
Company/School:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
*Transcripts will only be mailed to street addresses provided on this form or picked up in office by owner with picture ID. Transcripts will not be emailed or faxed.
Release Signature:

Your signature authorizes release of your transcript to you unless otherwise notated above.
Signature*

Clear
Date Signed:*

MonthDayYear
Date
For Internal Use Only:
Received:
ID Check:
Staff Witness:
F/A:
Mailed:
*Prior to 2010, all transcripts are archived with each program. Students that left between 2010-6.30.2013 use Archived STARS transcripts. Use Freedom Transcripts for student that left 7.1.2013 forward. Additional notes may be in Freedom.
Should be Empty: