Academic Transcript Request Form
Any NAME CHANGE to be shown on your transcript since you last attended must have documentation (marriage
certificate, divorce decree or court order).
HOW TO REQUEST AN ACADEMIC TRANSCRIPT
Use one transcript request form for each address.
Fax the completed transcript request form to the Registrar’s Office at (518) 255-5333
Mail transcript request form to:
Knapp Hall, Room 100/101
Cobleskill, NY 12043
Signature is required.
Requests are usually processed within seven to ten business days. Transcripts are mailed, NOT faxed.
Transcripts will not be issued if you have any outstanding obligations to the College.
Please contact the Registrar’s Office at (518) 255-5521 with any questions.
Student Last Name: ________________________________ First Name: ____________________________
Former Name(s): ________________________________________________________________________
(maiden – if applicable; marriages, etc)
ID Number/SSN: ________________________________ Date of Birth: ___________________________
Student Signature: ___________________________________________
Currently attending? (Circle one) YES NO If no, last semester or year attended:
Check if applicable:
Hold for grades at end of current semester
Hold for degree awarded status to be posted
Daytime phone number:
Send transcript to:
(Number of copies
to this address )
LIMIT of 5
State University of New York
College of Agriculture and Technology
Cobleskill, New York 12043
(May not be signed digitally.)