Transcript Request Form

Online transcript request: Fill out a transcript request form and pay a ($5 per copy) fee at the Student Services Office.
Note:
• Your transcripts will not be released if there are outstanding obligations to the school.
• You must have photo identification
• Hand delivered transcripts may vary processing time
• Allow three (3) business days for mailed transcripts to be processed
• Must have photo identification (DL, ID, Passport, or school ID card, etc.
• If transcript is need for Immigration please bring a passport photo to attached to the transcript

1.	Student Number:*

Student Name:*

First:
Last:
Former Names:

3.	Date of Birth:*
	mm/dd/yyyy

4.	Last Year Attended:*

5.	Phone:* (000)000-0000

Current Address:*

Street or P.O. Box:
City:
State:
Zip:
Country:

7.	Request Transcripts From:
	Request Transcripts From: High School College Both

8.	Student Signature:* By typing your name, as an electronic signature, you agree that the information you provided is true.