Student ID#: __________________ Date:_______________
Email: ____________________________________________ Phone Number: _________________________________
Last Name: ______________________________ First Name: __________________________ Middle Initial: ________
Mailing Address: __________________________________________________________________________________
City: ___________________________________________State: _______________ Zip Code: ____________________
Check one (1) of the following:
□ I would like an appointment to view my COMPLETE unredacted records if they exist and are available; or
□ I would like to request a copy of records as specified below, if the records exist.
□ Assessment testing
□ Degree/graduation audit
□ Admissions application and/or acceptance letter
□ High school transcript/GED/HiSETT
□ College/university academic transcripts
(transfer)
□ Other academic records: __________________
The College will respond with seven (7) business days to this request for records. No search or access will be made without appropriate signature
and documentation as required. Records that are archived may take up to three (3) weeks to locate and access. The records maintained by the
Office of the Registrar consist of the student’s academic and matriculation history. Student files are maintained only for actively matriculated
students (students enrolled in a degree or certificate-seeking program) for five (5) years; they are then destroyed. Record access is subject to the
Family Rights to Educational Privacy Act (FERPA).
I understand and acknowledge that requesting and receiving a photocopy of the documents on file and in the legal possession of Cape Cod
Community College are not considered official and may not be considered so by any other receiving institution if not sent directly by the
originators of the documents.
Disclaimer: Cape Cod Community College is supplying his or these documents at the student’s request only and accepts no liability or
responsibility in the use of photocopies once in possession of the student.
___________________________________________________________ __________________________
Student Signature Date
For Parent Use Only:
I have documentation attached showing that the student above is a dependent under the age as defined by IRS forms and is claimed as such by
me. I also have a photo ID as well as legal written consent from the student to view the student’s records. I understand I may only request an
appointment with the Registrar to view the student’s complete unredacted records, if they exist and are available. No records will be mailed to
me.
Parent Name (printed): _____________________________________________________________
Parent Signature: __________________________________________________________________ Date: _________________
Office of the Registrar Use:
Date Received: __________________________________ Date Reviewed/Mailed: __________________________________
Date Entered in Jenzabar: _____________________ Initials: ______________________
Once completed, place this form in student’s file.
Office of the Registrar – REQUEST TO VIEW RECORDS
2240 Iyannough Road │ West Barnstable, MA 02668
774.330.4711 │ Fax: 508.375.4084 │ registration@capecod.edu │ www.capecod.edu
