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5/2016 Transcript Request Form This request form is for official transcripts unless otherwise indicated. There is no charge for official transcripts. All obligations to the university must be cleared before transcripts will be released. Limit of 10 transcripts per day. Please allow 2-3 processing days after receipt of the transcript request for the transcript(s) to be printed and mailed. The length of processing time does not account for mailing and delivery time to or from the university. PERSONAL INFORMATION Last Name: ________________________________ First Name: ________________________________ MI: _________ CWID/SSN:________________ Other Names: ______________________________ Date of Birth: _________/________/_________ Phone: ( _______) __________- ____________ Address: _________________________________________________ City: _____________________ State: ________ Zip Code: _________________ Email Address: ________________________________________________________ Please update my address: Yes ______ No ________ TRANSCRIPT REQUEST (CHECK ALL THAT APPLY) Check all degrees attempted and/or received: _____ Undergraduate _____ Graduate ____ *Pick Up Transcript Qty: ______ ____ Hold for grade change Course: ______________________ ____ Mail Transcript ____ Hold for degree posting _____ Spring ____ Summer ____ Fall ____ Unofficial** (faxed ONLY to educational institution) ____ Hold for grade posting _____ Spring ____ Summer ____ Fall ** If requesting unofficial transcript be faxed, please provide fax number: ( ____) _______-________ * Call when ready: _____ Yes _____ No RECIPIENT MAILING INFORMATION Name: ___________________________________________________ Name: ________________________________________________ Address:__________________________________________________ Address:_______________________________________________ City/State/Zip:_____________________________________________ City/State/Zip:__________________________________________ Quantity: ___________ Quantity: ______________ Signature: ___________________________________________________________ Date: ___________________________________ State law requires that you be informed of the following: 1) you are entitled to request to be informed about the information about yourself collected by use of this form (with a few exceptions as provided by law); 2) you are entitled to receive and review that information; and 3) you are entitled to have the information corrected at no charge to you. Registrar Office 7101 University Ave- Suite 260 Texarkana, TX 75503 Office: 903-334-6601 Fax: 903-223-3140 Email: [email protected] Registrar Use Only: Student ID: ______________________________ Holds: __________________________________ Sys: ____________________________________ Processed by: _______________ Date:________

Transcript Request Form - Texas A&M University … · 5/2016 Transcript Request Form This request form is for official transcripts unless otherwise indicated. There is no charge for

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Page 1: Transcript Request Form - Texas A&M University … · 5/2016 Transcript Request Form This request form is for official transcripts unless otherwise indicated. There is no charge for

5/2016

Transcript Request Form This request form is for official transcripts unless otherwise indicated. There is no charge for official transcripts. All obligations to the university must be

cleared before transcripts will be released. Limit of 10 transcripts per day. Please allow 2-3 processing days after receipt of the transcript request for the

transcript(s) to be printed and mailed. The length of processing time does not account for mailing and delivery time to or from the university.

PERSONAL INFORMATION Last Name: ________________________________ First Name: ________________________________ MI: _________ CWID/SSN:________________

Other Names: ______________________________ Date of Birth: _________/________/_________ Phone: ( _______) __________- ____________

Address: _________________________________________________ City: _____________________ State: ________ Zip Code: _________________

Email Address: ________________________________________________________ Please update my address: Yes ______ No ________

TRANSCRIPT REQUEST (CHECK ALL THAT APPLY)

Check all degrees attempted and/or received: _____ Undergraduate _____ Graduate

____ *Pick Up Transcript Qty: ______ ____ Hold for grade change Course: ______________________

____ Mail Transcript ____ Hold for degree posting _____ Spring ____ Summer ____ Fall

____ Unofficial** (faxed ONLY to educational institution) ____ Hold for grade posting _____ Spring ____ Summer ____ Fall

** If requesting unofficial transcript be faxed, please provide fax number: ( ____) _______-________ * Call when ready: _____ Yes _____ No

RECIPIENT MAILING INFORMATION Name: ___________________________________________________ Name: ________________________________________________

Address:__________________________________________________ Address:_______________________________________________

City/State/Zip:_____________________________________________ City/State/Zip:__________________________________________

Quantity: ___________ Quantity: ______________

Signature: ___________________________________________________________ Date: ___________________________________

State law requires that you be informed of the following: 1) you are entitled to request to be informed about the information about yourself collected by use of this form (with a few

exceptions as provided by law); 2) you are entitled to receive and review that information; and 3) you are entitled to have the information corrected at no charge to you.

Registrar Office

7101 University Ave- Suite 260

Texarkana, TX 75503

Office: 903-334-6601

Fax: 903-223-3140

Email: [email protected]

Registrar Use Only:

Student ID: ______________________________

Holds: __________________________________

Sys: ____________________________________

Processed by: _______________ Date:________