ABC Transcript Request Form

IMPORTANT – PLEASE READ CAREFULLY

Requests for official transcripts can only be made by completing this form. Please fill out the form completely and do not leave any blank responses. If something does not apply to you, please write "NA" (not applicable) in the blank. Each blank must be filled or your request will not be processed. Any incorrect or missing information may cause a processing delay. The transcript form can be mailed, faxed, or submitted in person. Allow five business days for processing except during graduation or registration, at which time ten business days will needed for processing. All transcripts will be mailed to the address(es) indicated below. Transcripts will not be released to students that have any financial obligations to American Baptist College.

The $10.00 fee per transcript payment can be made by cash (in person), check, credit/debit card. To make a payment over the phone using your credit/debit card please call the Business Office (615)687-6895. DO NOT SEND CASH.

Student Information

Last Name*

First Name*

Middle/Maiden

Last 4 Digits of SSN*

Year(s) Attended

From*

To*

Present Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail*

Phone Number

Area CodePhone Number

How many official copies of your transcript are you requesting?*

Please send official copies of my transcript to:

Name 1*

Address 1*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Name 2

Address 2

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Transcipt*

ABC Transcript$10.00

Quantity

Total $0.00

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E-mail