Transcript Request Form
Name
PERSONAL INFORMATION
Last Name, First Name, MI, Include all names you may have attended under
Address
City
State Zip Code
Email Daytime Phone Number
GC INFORMATION
Graduate Degree Earned
Undergraduate Degree Earned
Last Term Attended Year
Date
Date
PROCESSING INFORMATION
MAILING INFORMATION
Process Now
Process After Final Grades for Term ______ Year _________
Process After Incomplete for Course # _________Taken____________ Year__________ is complete
Process After Degree is Awarded for Term____________ Year__________
Issued To:
Address
City State Zip Code
Address
Address
Issued To:
Address
Zip CodeCity State
STUDENT SIGNATURE
Form MUST be printed and signed before faxing or mailing to GC Registrar's Office
GCID or SSN
Today's Date
Forward completed Transcript Request Forms to: GC, Office of the Registrar, Campus Box 069, Milledgeville, GA 31061 OR fax
requests to (478) 445-1914. Transcripts will be mailed one to two working days after we receive your request. Additional time should be
allowed for requests made during peak periods of the academic year or at the end of the semester.
Number of Copies Needed
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