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Transcript Request

IMPORTANT: Official transcripts have a processing fee of $5. Please mail your $5 payment with a printout of this form to:

Official transcripts will only be sent to a college or university. Be sure to include the address and the contact or department that your transcript should be mailed to in the fields at the end of this form.

Providing your SSN is optional, but is needed to pull classes prior to 1996. If you prefer to provide it by phone, call Sharon or Carrie at 800.392.4045. A completed transcript request form is required.

Please tell us where to send your transcript

Type of Transcript Official Unofficial	Classes on my transcript date prior to 1996
First Name*	Last Name*
Maiden Name	SSN (Last 4 digits ONLY)
E-mail Address	Daytime Phone
Current Employer	Title
Previous	Would you like us to fax or mail your transcript? Fax Mail
Fax Number	Address
City	State Select your state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming British Virgin Islands Guam Mariana Islands Mariana Islands (Pacific) Puerto Rico VI U.S. Virgin Islands
Zip Code

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