Request for Official High School or College Transcript
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Request for Official High School or College Transcript
STUDENT: SCHOOL:
Please send this form to your high school, or if you have attended college, send one to each college. To be considered official, transcripts should be sent directly to Palm Beach State from the issuing institution or be hand-delivered in a sealed envelope by the issuing institution.
Florida public high school, college, and/or university transcripts should be sent electronically to Palm Beach State through the Florida Automated System for Transferring Electronic Records (FASTER).
Please send my official
High School transcript to:
College transcript to:
PALM BEACH STATE COLLEGE ADMISSIONS PROCESSING CENTER, MS 7.5 4200 CONGRESS AVENUE LAKE WORTH, FL 33461-4796
PALM BEACH STATE COLLEGE TRANSCRIPT EVALUATION, MS 7 4200 CONGRESS AVENUE LAKE WORTH, FL 33461-4796
Last Name: _____________________________ First Name: _______________________ MI: ___
Name used while enrolled at your institution: _______________________________________________
Social Security No.: _________________________ Date of Birth: __________________________
Current Address: ______________________________________________________________________
Street
________________________ ___ ______
City
State Zip
Telephone: (____) ____________
Area Code
HIGH SCHOOL TRANSCRIPT: High School Name: _________________________________ Date of Graduation: _______________
COLLEGE TRANSCRIPT: College Name: ___________________________________ Dates of Attendance: _________________
Graduated?
Yes
No
Date of Graduation: ____________________
Note: Check with the institution to see if there is a fee required for the release of transcripts.
THIS SIGNED FORM AUTHORIZES THE RELEASE OF A COPY OF MY TRANSCRIPT TO PALM BEACH STATE COLLEGE.
_________________________________________
Student's Signature (Required)
___________________________________
Date
6/30/16 Transcript to Palm Beach State
................
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