Sterling College
Sterling College Request for Transcript
Office of the Registrar
125 W. Cooper Date __________________
Sterling, KS 67579
FAX: 620-278-4412
Transcripts are released only at the written and signed request of the student and will be issued only if all obligations to Sterling College are cleared and student loans are not in default. Transcripts are $3.25 each for Kansas residents and $3.00 each for out of state, payable at time of request.
Social Security # ___________________________ Student ID # ____________________
Name ___________________________________________________________________________________
(Last, First Middle Initial)
Address _____________________________________________________________________
_____________________________________________________________________
Phone # _________________________________________
Birth date _____________ All previous last names __________________________________________
Enrolled currently: yes___ no___ If no, year of last enrollment _________________
Number of copies desired_______
Send transcript(s) to: (Print complete name & address clearly. Use back of form if more than two addresses.)
________________________________________ _______________________________________
________________________________________ _______________________________________
________________________________________ _______________________________________
________________________________________ _______________________________________
Special Instructions (Check all that apply):
_____________________________________________
____Will call for transcript Student Signature
____Send Now, do not hold for grades
____HOLD for posting of final grades
____HOLD for posting of degree
____HOLD for a grade change
If paying by credit card:
Circle one: MC, VISA, or Discover
Card #: _____________________________________________
Exp. Date ______________ 3-digit code (on back) ________
If name/address of card holder is different from the person requesting
Transcripts please note below:
-----------------------
Office Use Only:
Financial Aid Office Clearance ____________
Business Office Clearance_________________
Amount paid $__________
Processed by ________________
Date Transcript sent_____________________
................
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