O f f i c e o f t h e R e g i s t r a
r
300 Washington Avenue • Chestertown, MD
21620
PHONE 410-778-7299 • FAX
410-810-7159
EMAIL
registrar@washcoll.edu
WEB
registrar.washcoll.edu
TRANSCRIPT RELEASE FORM for
Letters of Recommendation
Students and alumni may use this form to request that an unofficial transcript of their academic record be issued on their behalf
to a Washington College faculty member for purposes of producing a letter of recommendation.
PLEASE NOTE, students also have the option to submit their unofficial transcript directly to the faculty member writing the
letter of recommendation. Unofficial transcripts can be downloaded at any time from Self Service.
This transcript will include all grades and credits earned for each semester of study, along with current degree program status
or graduation information. Unofficial transcripts appear on white paper and will not include the signature or seal. Per federal law,
no transcript or grade information may ever be emailed by the Registrar’s Office to a student or to a third party.
Instructions:
1. Complete and submit this form.
2. In keeping with the Family Education Rights and Privacy Act of 1974 (as amended), transcripts are issued only upon
written signed request or by other express and verified authorization of the student.
Full Name at Time of Attendance Date of Birth (mm/dd/yyyy)
Degree Program / Major Years of Attendance Washington Coll. ID# or last 4 of SSN
Employment Scholarship
Grad School
Current City, State, ZIP, Country
Current Email Address Current Telephone Number Reason for request (optional)
I request and authorize Washington College to send a transcript of my academic record to the following:
An
y faculty member that requests my unofficial transcript
The f
ollowing faculty member(s) only:
o _______
___________________________________________
o _______
___________________________________________
o _______
___________________________________________
Rev.
02/2019
click to sign
signature
click to edit
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