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Transcript Request Form 2-18

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34 views

Transcript Request Form 2-18

Uploaded by

zscas
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Lincoln College Transcript Request

Instructions: Download and complete this form including method of payment and signature. We are unable to accept transcript requests by
telephone. Current students are to bring their request and payment to the Student Accounts Office. Those not on campus may fax their request
and credit card number with the expiration date to (217) 732-2992 or mail it to Lincoln College Attn: Registrar 300 Keokuk Lincoln, IL 62656. Each
transcript cost is $5. Official transcripts are mailed, not faxed or e-mailed. Usual processing time is 3-5 working days. We are unable to process
requests from those with financial obligation(s). If this may be the case, please contact the Student Accounts Office at (217) 735-7225 before
making your request. For general transcript questions, please contact the Registrar’s Office at (217) 735-7243.

Please complete the following:

Lincoln College ID or Social Security Number: _________________________ Date of Request: _______________

Student’s Name __________________________________________________________________________________

Student’s Name at time of Attendance (If Different) _____________________________________________________

Street Address ___________________________________________________________________________________

City ___________________________________________ State ______ Zip Code _____________________________

Student’s Daytime Area Code/Phone #____/_____ - ______ E-mail: ________________________________________

Date of Birth ___/_____/______ Dates of Attendance ___-____-____ to ____-____-____

Please check one: Unofficial (no charge) ________ Official ($5 fee) _____________

Please check one: Send immediately __ Send after recording current grades ___ Send after recording degree ____

Please send my transcript to:

Institution or Company: ______________________________________


Attention (if needed) ________________________________________
Street address: _____________________________________________
City: _________________ State: _______ Zip Code: ___________

Institution or Company: ______________________________________


Attention (if needed): ________________________________________
Street address: ______________________________________________
City: ________________ State: ________ Zip Code: ____________

STUDENT’S SIGNATURE:__________________________________________________________

Payment Method: Credit Card __ or Debit Card __ and Visa ____ MasterCard ___American Express ____Discover____

Card Number: _____________________________________ CVV Code (3 digits; found on back of card): ________

Expiration Date ______________

Dollar Amount of Enclosed Check $________ ($5 per transcript) Make check payable to Lincoln College
For Office Use Only:
Business Office Approved: ____YES ____NO Paid: $_____________

Business Office Signature: _________________________ Date: _____________

Registrar’s Office Signature: _________________________ Date Sent: __________

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