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LOUISIANA DELTA COMMUNITY COLLEGE Division of Student Affairs Department of Enrollment Services Transcript Request Form Mail Fax or Email completed signed form with a photo id to the appropriate campus If emailing please email to enrollmentdept ladelta.edu Monroe Campus Enrollment Services 7500 Millhaven Rd. Monroe LA 71203 Fax 318-345-9002 Bastrop Campus Student Success Services P. O. Box 1120 Bastrop LA 71221 Fax 318-556-7013 Ruston Campus 1010 James St* Ruston LA 71273 Fax 318-251-4159 Student Information Tallulah /Lake Providence 132 Old Hwy 65 South Tallulah LA 71284 Fax 318-574-1868 609 Vocational Parkway West Monroe LA 71292 Fax 318-397-6180 Winnsboro Campus 1710 Warren St* Winnsboro LA 71295 318-435-2166 Please Allow up to 3 Business Days for Processing L Name F Name Maiden Name MI Date of Birth Student ID Number Last Four Digits of Social Security Number Number/Street Name or PO Box City State Daytime Telephone I am currently enrolled at Delta Zip Email Address Yes No If no my last date of attendance was Delivery Information Deliver transcript now Yes If no hold for posting of final grades hold for posting of degree Select Delivery Method A. Electronic transmission by eSCRIP-SAFE B. U*S* Mail delivery of my transcripts to Recipient s Name C. Hold for Student Pick-up Signature required Date required Office Use Only Date Sent Holds Y N Delivery Method By. Monroe LA 71203 Fax 318-345-9002 Bastrop Campus Student Success Services P. O. Box 1120 Bastrop LA 71221 Fax 318-556-7013 Ruston Campus 1010 James St* Ruston LA 71273 Fax 318-251-4159 Student Information Tallulah /Lake Providence 132 Old Hwy 65 South Tallulah LA 71284 Fax 318-574-1868 609 Vocational Parkway West Monroe LA 71292 Fax 318-397-6180 Winnsboro Campus 1710 Warren St* Winnsboro LA 71295 318-435-2166 Please Allow up to 3 Business Days for Processing L Name F Name Maiden Name MI Date of Birth Student ID Number Last Four Digits of Social Security Number Number/Street Name or PO Box City State Daytime Telephone I am currently enrolled at Delta Zip Email Address Yes No If no my last date of attendance was Delivery Information Deliver transcript now Yes If no hold for posting of final grades hold for posting of degree Select Delivery Method A. Electronic transmission by eSCRIP-SAFE B. U*S* Mail delivery of my transcripts to Recipient s Name C. Electronic transmission by eSCRIP-SAFE B. U*S* Mail delivery of my transcripts to Recipient s Name C. Hold for Student Pick-up Signature required Date required Office Use Only Date Sent Holds Y N Delivery Method By. Monroe LA 71203 Fax 318-345-9002 Bastrop Campus Student Success Services P. O. Box 1120 Bastrop LA 71221 Fax 318-556-7013 Ruston Campus 1010 James St* Ruston LA 71273 Fax 318-251-4159 Student Information Tallulah /Lake Providence 132 Old Hwy 65 South Tallulah LA 71284 Fax 318-574-1868 609 Vocational Parkway West Monroe LA 71292 Fax 318-397-6180 Winnsboro Campus 1710 Warren St* Winnsboro LA 71295 318-435-2166 Please Allow up to 3 Business Days for Processing L Name F Name Maiden Name MI Date of Birth Student ID Number Last Four Digits of Social Security Number Number/Street Name or PO Box City State Daytime Telephone I am currently enrolled at Delta Zip Email Address Yes No If no my last date of attendance was Delivery Information Deliver transcript now Yes If no hold for posting of final grades hold for posting of degree Select Delivery Method A. Electronic transmission by eSCRIP-SAFE B. U*S* Mail delivery of my transcripts to Recipient s Name C. Hold for Student Pick-up Signature required Date required Office Use Only Date Sent Holds Y N Delivery Method By.