OFFICE USE ONLY: Receipt # _______________ Amount Received ______________ Cashier Initials ______________ Date _______________
Processed by _______________ Date _____________________
OFFICIAL TRANSCRIPT REQUEST
CHOOSE ONE:
COMPLETE REQUEST NOW
HOLD REQUEST UNTIL CURRENT SEMESTER GRADES ARE POSTED
HOLD REQUEST UNTIL DEGREE IS POSTED (EXPECTED GRADUATION DATE: ____________________)
CHOOSE MAILING OR PICK UP OPTION AND INDICATE QUANTITY:
ELECTRONIC COPIES CAN BE REQUESTED ONLINE (www.rockinghamcc.edu - an additional third-party processing fee applies).
MAIL _____ COPIES OF MY TRANSCRIPT TO:
Individual/Organization:
Department:
Street Address: ___________________________________________________________________________
City: ______________________________________ State: _______________ Zip: ____________
MAIL ME _______ COPIES OF MY TRANSCRIPT (If you open this copy, it will no longer be official.)
I WILL PICK UP _______ COPIES OF MY TRANSCRIPT (Photo ID is required for pick up.)
I GIVE PERMISSION FOR THE FOLLOWING INDIVIDUAL TO PICK UP A TRANSCRIPT ON MY BEHALF:
Individual’s Full Name _________________________________________________________________________________
Photo ID is required for pick up. No transcript(s) are released to other individuals without this information and the student’s signature below.
STUDENT SIGNATURE ______________________________________________________ DATE _____________________
Unless sent from an official Rockingham Community College email account, this form must have a handwritten signature.
In Person:
Mail:
E-mail:
Fax
:
Questions?
Business Office – Administration Building (ADM)
Business Office, PO Box 38, Wentworth NC 27375-
0038
transcriptrequest@rockinghamcc.edu
(336) 349-9986
Call (336) 342-4261, ext. 2333
Name: ______________________________________________________
Street Address: _______________________________________________
City: _________________________ State: ___________ Zip: __________
Day Phone: __________________________________________________
Any Other Name(s) ____________________________________________
Date: ________________________________________
ID# or last 4 of SSN ____________________________
Date of Birth __________________________________
I am currently enrolled.
I am not currently enrolled.
Year First Enrolled at RCC: ____________________
Year Last Enrolled at RCC: ____________________
Complete and return
form with paym
ent:
A $5.00 fee per transcript applies; requests are processed once applicable fees are paid to the Business Office.
Allow 2 to 4 business days for processing; this request will be shredded one year following the date of the request.
Unofficial copies of transcripts can be accessed in Self-Service.
Rev 01/2021
click to sign
signature
click to edit
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