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Official Transcript Req Form Oct 10

This form is used to request official transcripts from the Office of the Registrar. The fee for official transcripts is $3 per copy, with an additional $15 fee for overnight delivery to a single address. Applicants provide their contact information and details of where to send the transcripts. Transcript requests received with payment by 11am are typically processed the same day, though transcripts will not be released if the applicant has an outstanding financial obligation or disciplinary action pending.

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24 views

Official Transcript Req Form Oct 10

This form is used to request official transcripts from the Office of the Registrar. The fee for official transcripts is $3 per copy, with an additional $15 fee for overnight delivery to a single address. Applicants provide their contact information and details of where to send the transcripts. Transcript requests received with payment by 11am are typically processed the same day, though transcripts will not be released if the applicant has an outstanding financial obligation or disciplinary action pending.

Uploaded by

openid_ol1VoQ8u
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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OFFICE OF THE REGISTRAR

269-337-7204

Request for Official Transcripts


Use this form to request official transcripts that should be mailed or sent via overnight delivery. If you
want to request an unofficial transcript instead, please use the Unofficial Transcript request form.
The transcript fee for official transcripts is:
$3 for each official transcript ordered.
$15 for each overnight address.
Example: if you order 3 official transcripts to be sent overnight to a single address, the fee would be $24
(($3 x 3) + $15). You may pay this fee by sending a check or money order with this form or, if you wish to
pay by credit card, by calling during business hours (269-337-7204). Transcript requests received (with
signature) and paid for by 11am are typically processed on the same day.
Note: Official transcripts will not be released if you have a delinquent financial obligation to the college or
a pending disciplinary action.
Your Contact Information:
Name: ____________________________________________________ Last year at K: ______
Name when you attended K: ______________________________________________________
Student ID#: ____________

(Alternative: _____________ and _____________)


date of birth

Email: _____________________

Phone: _____________________

Signature: _____________________________________________________
Send to Recipient as (check one):
# of Copies: __

($3 per copy);

last 4 digits of SSN

__ 1st Class Mail

Date: ________________

__ Overnight ($15 per address; phone # required)

Recipient Phone Number: ______________ (required for overnight delivery)

Full Name of School,


Institution or Organization:

________________________________________________

Attention To (individual or dept):

________________________________________________

Address:

________________________________________________

(include full address, city, state and zip code)

________________________________________________
________________________________________________
Special Instructions: ______________________________________________________________
(see next page for additional recipients and for submission instructions)

Last modified: 10/1/2010

Additional Recipients for (your name): ____________________________________________________


__ 1st Class Mail

Send to Recipient as (check one):


# of Copies: __

($3 per copy);

__ Overnight ($15 per address; phone # required)

Recipient Phone Number: ______________ (required for overnight delivery)

Name of School, Inst. or Org.:

______________________________________________

Attention To (individual or dept):

______________________________________________

Address:

______________________________________________

(include full address, city, state and zip code)

______________________________________________
______________________________________________
Special Instructions: ______________________________________________________________
__ 1st Class Mail

Send to Recipient as (check one):


# of Copies: __

($3 per copy);

__ Overnight ($15 per address; phone # required)

Recipient Phone Number: ______________ (required for overnight delivery)

Name of School, Inst. or Org.:

______________________________________________

Attention To (individual or dept):

______________________________________________

Address:

______________________________________________

(include full address, city, state and zip code)

______________________________________________
______________________________________________
Special Instructions: ______________________________________________________________
__ 1st Class Mail

Send to Recipient as (check one):


# of Copies: __

($3 per copy);

__ Overnight ($15 per address; phone # required)

Recipient Phone Number: ______________ (required for overnight delivery)

Name of School, Inst. or Org.:

______________________________________________

Attention To (individual or dept):

______________________________________________

Address:

______________________________________________

(include full address, city, state and zip code)

______________________________________________
______________________________________________
Special Instructions: ______________________________________________________________

Please print, fill out, and sign this form and send it, along with the appropriate fee, to:
Registrar's Office
1200 Academy Street
Kalamazoo, MI 49006

Fax #: 269-337-5746
Email address: [email protected] (send as pdf file)

To pay the transcript fee by credit card, please call the Registrar's Office: 269-337-7204.
Last modified: 10/1/2010

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