6250 El Cajon Blvd. • San Diego, CA 92115 • free 866.752.8826 • phone 619.265.0107 • fax 619.265.8655 • www.platt.edu
Former Student Transcript Request
1) Complete form.
2) Include $15 Transcript Fee per transcript. (Check or Credit Card)
Mail to: Platt College San Diego, Attn: Transcript Request
6250 El Cajon Blvd. San Diego, CA 92115
OR Fax: 619.265.8655 or Email: Registrar@platt.edu
Official ($15 each; sealed) = _____copies Unofficial (Free; not sealed) = _____copies
Full Name: _____________________________________________________________ S.S.N. ________________________
Name while attending Platt College, if different: ______________________________________________________
Address: ________________________________________________________________________________________________
City: ______________________________ State: ________ Zip: _____________ Phone: ___________________________
Email: __________________________________________________________________________________________________
Graduation/Departure Date: _________________________________Program/Certificate______________________
Address to send transcript, if different from above:
Name/Institution: ______________________________________________________________________________________
Address: ____________________________________________City: __________________ State: ____Zip: _____________
Student Signature: _____________________________________________________________ Date: __________________
OFFICE USE:
Signature of Registrar: __________________________ Date Requested: __________ Date Sent: _______________
Make check payable to: Platt College San Diego
OR
Visa Mastercard American Express Discover
Credit Card #: _____________________________ Exp. Date (MM/YYYY): _________________
Billing Address (if different from above): _____________________________________________
I give permission for Platt College San Diego to charge my credit card.
Student Signature: __________________________________ Date: _____________________
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