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LSCPA Trasncript Request

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0% found this document useful (0 votes)
29 views1 page

LSCPA Trasncript Request

Uploaded by

sebastianceja136
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Lamar State College – Port Arthur

Official Transcript Request Form

All obligations to LSC‐PA must be cleared before transcripts may be released. Transcript requests are
processed and mailed free of charge within 1 to 2 business days, and those sent to student will be
designated “Issued to Student.” Official transcripts will be sent via US Postal Service, so please allow for
mail delivery time to reach institution. LSC‐PA will not fax transcripts.

Please print and complete all information below for prompt processing:

Student ID or Social Security Number: ________________________________ Date of Birth: _____________

Name: ________________________________________________________________________________
LAST FIRST MIDDLE MAIDEN

HOLD FOR CURRENT SEMESTER GRADES: YES NO


(For students currently enrolled and need transcript printed after grades post)

HOLD FOR POSTING OF YOUR DEGREE? YES NO GRADUATION DATE: ________________

Number of Copies to Pick Up: Number of Copies to Mail:


(Stamped ISSUED TO STUDENT) (Provide mailing information below)

_____________________________________________________________________________________
Name/Institution Address City State Zip

_____________________________________________________________________________________
Name/Institution Address City State Zip

Phone number where you can be reached: __________________________________________________

Email Address: ________________________________________________________________________

Do you give someone else permission to pick up your transcript on your behalf? If so, please list that

person’s name: ___________________________________________ (we will ask for picture ID or DL)

Reason for Request: ____ Transferring to University ____ Transferring to a 2 year campus

____ Employment ____ Personal Records

I hereby give my consent to release my academic transcript as requested:

Date: ______________________ Signature: ________________________________________________

All transcript request forms may be sent by mail to Admissions and Records
Department, PO Box 310, Port Arthur, TX 77641, by email to
[email protected], or by fax to (409) 984-6025.

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