TRANSIENT LETTER REQUEST FORM
INSTRUCTIONS: Complete each section below and return to the Admissions & Records office via email to
records@gadsdenstate.edu
, by mail to P.O. Box 227, Gadsden, AL, 35902 or to the Admissions & Records office, Gadsden
One Stop Center.
IMPORTANT: The student is responsible for requesting that official transcripts of all work completed at other institutions
be mailed to the address above, or emailed via secure network to admissions@gadsdenstate.edu
.
STU
DENT INFORMATION:
Student Name Student Number (A#)
Student Email address Phone Number
REQ
UESTED TRANSIENT COURSE INFORMATION:
__
College Name Term/Year
______ _____
Department Course Number Credit Hours Course Title/GSCC Equivalent
______ _____
Department Course Number Credit Hours Course Title/GSCC Equivalent
______ _____
Department Course Number Credit Hours Course Title/GSCC Equivalent
______ _____
Department Course Number Credit Hours Course Title/GSCC Equivalent
BY
SIGNING BELOW, STUDENT UNDERSTANDS AND AGREES TO THE FOLLOWING:
1. Must be a student in good standing with a 2.0 or higher GPA.
2. Gadsden State must offer the course(s) (or equivalent) requested.
3. Prerequisites required for the course(s) requested above must be successfully completed.
4. Any balance owed to the College must be paid in full before request will be approved.
5. An official transcript per the above instructions must be sent to Gadsden State after course completion.
Student Signature Date
Records Office
Approved/Processed by Date
Request Denied by/Reason Date
Rev 9/20
g a d s d e n s
t a t e
c o m m u n i t y c o l l e g e
click to sign
signature
click to edit
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