Student SSN/ ID No. : Name:
Birth Date:
When did you last attend EPCC:
Current Address:
Student's Name
Street Address
City State Zip Code
Contact Phone Number:( )
Area Code Telephone Number
MAIL TO:
(Please provide recipient's name, name of business or college).
Street Address
City State Zip Code
Student Signature: Date:
Transcript Request Form
Office of Admissions & Registration
Last Name Enrolled Under:
Number of Transcript(s) Requested:
Please complete this form and return it to the Office of Admissions & Registration.
This form can be emailed to: Admissions@epcc.edu or mailed to:
El Paso Community College
Admissions & Registration
P.O. Box 20500
El Paso, TX 79998-0500