REQUEST FOR TRANSCRIPT - Jackson State Community College
REQUEST FOR TRANSCRIPT
Records Office
2046 North Parkway, Jackson, TN 38301 Phone (731) 425-2654 Fax (731) 425-2653 E-mail: recdocs@jscc.edu
Please send the following (check one): _____Official copy of my college transcript
_____Unofficial copy of my college transcript
------------And one of the three options---------------
___Mail transcript now
___Hold for current term grades
___Hold for degree posting
PLEASE PRINT ALL except for signature Name under which my student records exist:
Number requested _____
Last
First
Middle
Current Name (if different from above): _______________________________________________________
JSCC Student ID: ________________________________ Date of Birth: _____________________________
Phone Number (required): ___________________________
Present Address:
_____________________________________________________________________________________
Street Address
City
State
Zip Code
Provide the complete NAME and ADDRESS where the transcript is to be mailed:
_________________________________________________ _________________________________________________ _________________________________________________
Transcript requests are processed USUALLY within 72 hours.
_________________________________________________
Provide the complete information (Attn person & fax number) for ***Fax Requests*** (Faxed transcripts are NOT official)
_________________________________________________
_________________________________________________
I hereby authorize the release of my transcript.
___________________________________ Student Signature (required by federal law)
_____________________
Today's Date
Jackson State Community College does not discriminate on the basis of race, color, religion, creed, ethnicity or national origin, sex, disability, age, status as a protected veteran or any other class protected by Federal or State laws and regulations and by Tennessee Board of Regents policies with respect to employment, programs, and activities. The following office has been designated to handle inquiries regarding non-discrimination policies: Amy West, Director of Human Resources, 2046 North Parkway, Jackson TN 38301, (731) 424-3520. REC20-0022
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