Request for Unofficial Documents

Student’s first name:

Student’s last name:

Birthdate:

ID number (SSN if attended before 2002):

Name when attended:

Street address

City

State

ZIP code

Is the above address new to our records?

Yes

No

Email address:

Phone number:

Student signature:

Date:

How would you like to receive your document?

Hold for pick up

Mail to address above

Mail to different address

Fax

Fax to: ATTN:

Email

Email to:

Document(s) you’re requesting

Unofficial transcript

Letter of attendance

Copy of immunizations

Copy of class schedule

Process unofficial transcript after grades are recorded?

Yes

No

Process unofficial transcript after removal of incomplete is recorded?

Yes

No

If you are human leave this field blank