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Official Grade Transcript Request Order Form (No Cover Sheet Required)

This document is an official grade transcript request order form for Southwestern Oregon Community College. It provides instructions for students to request transcripts, including that the first seven transcripts per year are free with additional copies costing $10 each. It requests the student's contact information and signature to authorize processing the request and paying fees if applicable. Processing can take up to five business days.

Uploaded by

Richard Livellara
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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61 views1 page

Official Grade Transcript Request Order Form (No Cover Sheet Required)

This document is an official grade transcript request order form for Southwestern Oregon Community College. It provides instructions for students to request transcripts, including that the first seven transcripts per year are free with additional copies costing $10 each. It requests the student's contact information and signature to authorize processing the request and paying fees if applicable. Processing can take up to five business days.

Uploaded by

Richard Livellara
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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STUDENT FIRST STOP CENTER

1988 NEWMARK AVENUE


COOS BAY, OR 97420

(541) 888-7352 firststop@socc.edu 1-800-962-2838, ext 7352 Fax: (541) 888-7247

Official Grade Transcript Request Order Form (No Cover Sheet Required)
The first seven (7) transcripts per academic year are free of charge. Additional copies cost $10 each.

Transcripts may take up to five (5) business days to be processed. (During non-peak times)
Student’s Full Name: Student ID or SSN: Date of Birth:

Address: Phone Number: Other Names Used:

City, State, Zip: Years Attended Southwestern:

Currently Attending? If currently attending, hold request until grades are posted?
Y N Y N
Please provide complete addresses including departments; otherwise, your request may be delayed or
returned to you. We do not fax transcripts. Use myLakerLink to obtain your unofficial grade transcripts.

# of transcripts Send my transcripts to: # of transcripts Send my transcripts to:

# of transcripts Send my transcripts to: # of transcripts Send my transcripts to:

Please process and send my requested transcripts to the above addresses. I am aware that
transcript requests will only be processed if my account balance is current and if all holds are
resolved.
Signatures or e-signatures are REQUIRED; no facsimiles will be accepted.

Student’s Signature Today’s Date


I authorize Southwestern Oregon Community College to charge my credit card $10 for each transcript requested that
exceeds seven (7) per academic year.
Name on Card _______________________________ Card No. ________________________________ Exp. Date _________

Security Code ________ Signature ________________________________________________ Date ____________________

Rev. 01/28/2016 The Southwestern Oregon Community College is an Equal Opportunity Employer and Educator.

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