REGISTRAR’S OFFICE
101 Community College Way
Johnstown, PA
TRANSCRIPT REQUEST FORM
The Registrar’s Office will mail the transcript within two (2) business days of receipt of this form pending clearance from the Bursar’s Office.
Select Transcript Type: Official Transcript Unofficial Transcript
Quantity Requested: _______
Name of Recipient:
TRANSCRIPT REQUESTOR
Student Name (as it appears on your record): _____________________________________________________________
Student ID#:___________________ OR Social Security Number: X X X – X X – __________ OR DOB:_____________
Current Mailing Address: __________________________________________________________________
City/State/ZIP: __________________________________________________________________________
Daytime Phone Number: __________________________
TRANSCRIPT R
ECIPIENT
_____________________________________________________________________________
Name of Organization: _____________________________________________________________________________
Office: _____________________________________________________________________________
Street Address: _____________________________________________________________________________
City, State, Zip: _____________________________________________________________________________
Mailing Timeline: Send at the end of the current semester to include my most recent grade
Send immediately
Option for non-returning students only: If you are no longer an active student at Pennsylvania Highlands
Community College please check the box to the left if you would like the address you have listed on this form to be
the new permanent address
in our records.
Stu
dent’s Signature: ________________________________________________________ Date: ____________
RET
URN THIS FORM TO THE REGISTRAR’S OFFICE
Requests may also be faxed to (814) 269-3008
Or email: registrar@pennhighlands.edu
OFFICE USE ONLY
Registrar’s Office Revised: 9/2019
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