STUDENT FIRST STOP CENTER
1988 NEWMARK AVENUE
COOS BAY, OR 97420
(541) 888-7352 firststop@socc.edu 1-800-962-2838, ext 7352 Fax: (541) 888-7247
Official Grade Transcript Request Order Form (No Cover Sheet Required)
The first seven (7) transcripts per academic year are free of charge. Additional copies cost $10 each.
Transcripts may take up to five (5) business days to be processed. (During non-peak times)
Student’s Full Name: Student ID or SSN: Date of Birth:
Address: Phone Number: Other Names Used:
City, State, Zip: Years Attended Southwestern:
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Please provide complete addresses including departments; otherwise, your request may be delayed or
returned to you. We do not fax transcripts. Use myLakerLink to obtain your unofficial grade transcripts.
# of transcripts Send my transcripts to:
# of transcripts Send my transcripts to:
# of transcripts Send my transcripts to: # of transcripts Send my transcripts to:
Please process and send my requested transcripts to the above addresses. I am aware that transcript requests will
only be processed if my account balance is current and if all holds are resolved.
Signatures or e-signatures are REQUIRED; no facsimiles will be accepted.
Student’s Signature Today’s Date
I authorize Southwestern Oregon Community College to charge my credit card $10 for each transcript requested that
exceeds seven (7) per academic year.
Name on Card Card No. Exp. Date
Security Code Signature Date
Rev. 01/28/2016
The Southwestern Oregon Community College is an Equal Opportunity Employer and Educator.
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