PLEASE RETURN THIS COPY WITH THE TRANSCRIPT.
If there is a charge for this service, please bill me at the address indicated below:
(Last Name)
(Middle Name)
(Maiden Name)
(First Name)
My date of birth is
(Month) (Day) (Year)
WSCC 00231-P-2-56100 Rev. 6/07
(Street or Rural Route)
(City, State, and Zip Code)
(term and year)
TO THE FOLLOWING COLLEGE/HIGH SCHOOL:
My last period of attendance at your school was
My Social Security Number is
Graduate
Yes
No
- -
(Date Mailed)(Signature)
Please ensure that the high school graduation date and, if applicable, the type of diploma are clearly marked on the
transcript.
If you have sent this transcript to Walters State in the past three weeks, please disregard this notice. If this student is still
enrolled in high school and has entered Walters State as an advanced studies student, please do NOT send the transcript
until the student has graduated. If this transcript is being sent as a part of application for scholarships, please clearly
mark the transcript accordingly.
To Whom it May Concern:
I have applied for admission to Walters State Community College for the Semester, 20
Please mail an ofcial copy of my academic transcript to:
DEPARTMENT OF ADMISSIONS AND REGISTRATION SERVICES
WALTERS STATE COMMUNITY COLLEGE
500 SOUTH DAVY CROCKETT PARKWAY
MORRISTOWN, TN 37813-6899
FAX #: 423-585-6786
If I have taken the COMPASS Examination at your college/university, please send a copy of the scores with my transcript.
