Transcript Request Form
Ofce of The Registrar • One Armory Square • PO Box 9000 • Springeld, MA 01102-9000 • Tel: 413-755-4321
Fill in all sections and sign this form to prevent any processing delays.
If you indicate “hold for nal grades,” you are requesting that your
transcript not be processed until the nal grading process for the
ending term has been completed. Please allow 2 weeks after term has
ended to process your request.
Hold for nal grades – this semester
GRADUATING SENIORS
– this semester
If you indicate that you are “graduating this semester,” your
request will not be processed until the degree or certicate has
been posted. Please allow 3 weeks after term has ended to process
your request.
Number of copies
Pick up
Unofcial
(ex. 1989 to 2008)
APPROXIMATE YEARS OF ATTENDANCE:
To
Number of copies
Mail out
Ofcial
FIRST
NAME
LAST
NAME
TELEPHONE
CITY STATE ZIP CODE
HOME
ADDRESS
STUDENT ID #
or SSN
MAIDEN
NAME
Unsigned requests
will not be processed!
Date of Request:
(Today’s date)
Student’s signature required to process request
Student’s Signature:
Mail Transcripts To: (Person/Institution/Agency) Must supply a complete mailing address for proper delivery
Make check or money order payable to STCC
In-person requests are paid for at the Student Accounts Ofce. Accepted forms of payments are:
cash • check • money order • debit/credit
Please READ this important information before completing the form
• There is No Cost for Unofcial Transcripts.
(Students who attended STCC after 2001 can
access unofcial transcripts on WebAdvisor)
Faxed requests will not be accepted.
Processed transcripts cannot be faxed.
An Ofcial Transcript is $3.00 per copy.
Ofcial transcripts will be processed in two
working days.
Transcript requests will not be processed if
your STCC account has an outstanding balance.
Transcript Request Form Revision 12/11/2014
Payment
THIS AREA IS FOR OFFICE USE ONLY
P/PU
Registrars Ofce
Date Processed
Student AccountsReceipt Number
NAME of PERSON, INSTITUTION or AGENCY
DEPARTMENT or INDIVIDUAL
STREET ADDRESS
CITY STATE ZIP CODE
NAME of PERSON, INSTITUTION or AGENCY
DEPARTMENT or INDIVIDUAL
STREET ADDRESS
CITY STATE ZIP CODE
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