LEGACY TRANSCRIPT REQUEST
If you need transcripts sent to more than one location, please complete
multiple forms. Please do not write on the back of forms.
Please allow 5-7 business days for processing.
Rev. 08/2019
Please include
ONLY _____ Graduate _____ Undergraduate level of classes with my request.
(Please note that both levels will be included if not specified.)
Attendance at College of New Rochelle
:
Dates
of Attendance (mo./year): ______/__________ to ______/__________
Graduation Date, if applicable (mo./year): ______/__________
Program of Study: _______________________________________________
Campus Location Attended: _______________________________________
Email to: registrar@mercy.edu Fax to: Registrar’s Office Mail to: Mercy College
Subject: CNR Transcript Request
914-674-7516
555 Broadway
Dobbs Ferry, NY 10522
Attn: Registrar - CNR Transcripts
Day Phone:__________________________
Email:
______________________________
Number of Official Copies: ________
(Maximum of 5 per request)
(This is a fillable PDF form. Type your response in the boxes and then save or print)
Student Name: _____________________________________________________ Date:_____________
Mail Transcript to: (Type or print neatly, this box MUST be completed)
CNR Student ID# -or- SSN:_______________________ Date of Birth:
applicable):___________________________________________ (if Name Previous/Maiden
_________________
*** PLEASE BE ADVISED THAT WE DO NOT PROVIDE OFFICIAL ELECTRONIC COPIES. ***
Name
Street Address
City, ST Zip
