STUDENT INFORMATION
TYPE OF TRANSCRIPT SENDING INSTRUCTIONS
REQUIRED
Registrar’s Office
Transcript Request Form
TRANSCRIPT MAILING INSTRUCTIONS
First Name MI Last Name
Previous Name (if applicable) Date of Birth Banner ID Number
Addressee Name (if to yourself, write “Self”) Number of transcript copies to be sent
Addressee Name Number of transcript copies to be sent
Addressee Name Number of transcript copies to be sent
List up to three different addresses on this form. Please allow 5-10 working days for processing and mailing, except at
the
beginning and end of the semester, when up to
three weeks may be required. Partial transcripts are not issued. Transcripts show all work completed at this institution.
Please complete this form, sign, date and mail to: Manchester Community College, Transcripts, Great Path, MS #13, P.O. Box 1046, Manchester, CT 06045-1046
Or fax this form to: 860-512-3221
Mailing Address Is this address new to our records?
City State Zip
Mailing Address
City State Zip
Mailing Address
City State Zip
Mailing Address
City State Zip
Home Phone Number Cell Phone Number Work Phone Number
Student’s Signature
(print form to sign)
Date
July 2017/PR
www.manchestercc.edu
Please select only one designation.
n Academic Official
n This is my graduation semester at MCC
Please select only one designation.
n
Send transcript now
n
Send transcript at end of Spring semester
n
Send transcript at end of Summer semester
n
Send transcript at end of Fall semester
n
Send transcript at end of Winter semester
n
Yes
n
No
