Official Transcript Request Form

Official Transcript Request Form

STUDENT INFORMATION

Today's Date: / /

Last Name:

First Name:

Middle Initial:

Any/All Previous Names:

Date of Birth:

Student ID #:

Street Address:

City/State/Zip:

Phone #:

Dates of Attendance:

/

through

/

email address:

Degree(s) Received: UG GR PH

Currently Enrolled?: YES NO

IF Enrolled, Current Status: UG GR PH

Student Signature (Required):

Date:

MAILING INFORMATION (attach separate sheet for multiple addresses)

IF MAILING ADDRESS IS THE SAME AS ABOVE, PLEASE CHECK HERE

IF PICKING UP, CHECK HERE

Name:

Attention:

Street Address:

City/State/Zip:

Phone #:

**PROCESSING OPTIONS** (must be completed)

When do you want your transcript

SUBTOTAL

sent?

Number of Official Copies:

$7.00 each $

NOW:

Number of Unofficial Copies:

FREE

0.00

OR

Additional Services (one time fees)

AT THE END OF THIS SEMESTER 24 Hour Processing (Regular Mail or Pick-up):

$5.00 $

HOLD FOR FINAL GRADES: HOLD FOR DEGREE:

Overnight Delivery:

$27.50 $ Total: $

Note: Official transcripts will be

Please Make Checks Payable to Springfield College and mail to: Springfield College

mailed within 5-7 business days

Office of the Registrar

unless other service is requested.

263 Alden St. Springfield, MA 01109

* Unofficial transcript requests can be faxed to 413-748-3451. Unofficial

transcripts will be mailed to the student ONLY.

Official transcripts can be ordered at WWW.. Electronic PDF option available online.

Revised February 2019

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