Century College is a member of Minnesota State. We are an affirmative action, equal opportunity employer and educator. This document can be available in alternative formats to individuals with
disabilities by calling 651.779.3354 or 1.800.288.1978 x 3354
Records Department
Room 2220, West Campus
3300 Century Avenue North
651.779.3299
You may order your official transcript through the National Student Clearinghouse online or complete this form and submit it by mail or fax. There is a $5
charge per transcript. You may include a check with your mailed request or pay by credit card. For fax requests, you must pay by credit card authorization.
TRANSCRIPTS WILL NOT BE FAXED OR EMAILED. Questions: 651.779.3950 FAX: 651.773.1708
STUDENT INFORMATION
Current Last Name
Current First Name
MI
Former Name(s)
Current Street Address, City, State, Zip Code
Student ID or Complete SSN (required)
Birthdate
Daytime Phone #
Student Signature (required to release transcript)
Please check all schools attended: (include approximate years of attendance) *
Continuing Education transcripts call 651.779.3341
Century College
Years of attendance:
Lakewood College
Years of attendance:
Northeast Metro Technical College 916 (before
1996)
Years of attendance: Major:
High school or PSEO
Years of attendance:
TRANSCRIPT PROCESSING FAX: 651.773.1708
Transcripts may be requested by fax, mail or in person. Faxed requests must be paid by credit card. FAX RECEIVED IN LOCKED AREA
FEES:
$5.00. Transcript will be postmarked or available for pick-up within 3 business days. Add $5.00 for RUSH service; transcript will be postmarked
(REGULAR U.S. MAIL) within 24 hours or will be available for pickup within 1 hour. PLEASE NOTE: Rush service not available for Northeast Metro Technical
College 916. *Delivery time by U.S. mail is NOT included in processing time. Please plan accordingly.
Mail
Quantity
Transcript will be mailed (REGULAR U.S MAIL) in 3 business days upon receipt of request. Please allow 3 business
days to confirm receipt of transcript request.
Pickup
Quantity
Transcripts held for pick-up must be claimed within 60 days
SEND TRANSCRIPT TO:
Transcripts will not be FAXED or EMAILED
Incomplete forms, no payment, or changes in the original request may cause delay. Transcripts not issued if student has balance or hold on their account.
Institution or Name of Third Party:
Street Address, City, State, Zip Code
Check only one that MAY apply: _______ Hold for grades ______ Hold for degree Check only if applicable: ______ Hold for grade changes
CREDIT CARD PAYMENT INFORMATION
Cardholder’s Name:
Cardholder’s Address:
Card number:
Expiration Date:
CVV (on back of card)
Cardholders Signature:
Date:
Rush:
YES NO
Total Amount Paid:
TRANSCRIPT REQUEST
click to sign
signature
click to edit
click to sign
signature
click to edit
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