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Get National Credibility Assessment Transcript Request Form

National Center for Credibility Assessment ATTN Registrar s Office 7540 Pickens Avenue Fort Jackson SC 29207-6804 TRANSCRIPT REQUEST FORM Please print or type the information. Privacy Act Statement 5 USC 552a Authority 10 USC 3012 Information contained in this document is subject to the Privacy Act of 1974. Routine Use Any information you provide is disclosed to members of the Department of Defense who have a need for the information in performance of duties. Any unauthorized disclosure or misuse of personal information may result in criminal and/or civil penalties. Disclosure Mandatory or Voluntary Disclosure is voluntary. However failure to provide the information could result in a delay in processing your request. Please complete all requested information to assist in processing your request. As a service to our students there is no charge for a transcript. No transcripts will be released without proper student signature. NAME First Middle Initial SOCIAL SECURITY NUMBER Last Dates of Enrollment Current Mailing Address Home Daytime Telephone Number Street Address City State Zip Code Date of Request STUDENT S SIGNATURE MAIL TRANSCRIPT TO NAME AND ADDRESS Mail requests to the address listed above or fax requests to 803 751-9137 ATTN Registrar s Office. Although we accept faxed requests for transcripts we are unable to fax transcripts. Your official transcript will be mailed within three working days after being received* Please allow at least one or two weeks during peak periods. Routine Use Any information you provide is disclosed to members of the Department of Defense who have a need for the information in performance of duties. Any unauthorized disclosure or misuse of personal information may result in criminal and/or civil penalties. Any unauthorized disclosure or misuse of personal information may result in criminal and/or civil penalties. Disclosure Mandatory or Voluntary Disclosure is voluntary. However failure to provide the information could result in a delay in processing your request. Disclosure Mandatory or Voluntary Disclosure is voluntary. However failure to provide the information could result in a delay in processing your request. Please complete all requested information to assist in processing your request. As a service to our students there is no charge for a transcript. Please complete all requested information to assist in processing your request. As a service to our students there is no charge for a transcript. No transcripts will be released without proper student signature. NAME First Middle Initial SOCIAL SECURITY NUMBER Last Dates of Enrollment Current Mailing Address Home Daytime Telephone Number Street Address City State Zip Code Date of Request STUDENT S SIGNATURE MAIL TRANSCRIPT TO NAME AND ADDRESS Mail requests to the address listed above or fax requests to 803 751-9137 ATTN Registrar s Office. No transcripts will be released without proper student signature. NAME First Middle Initial SOCIAL SECURITY NUMBER Last Dates of Enrollment Current Mailing Address Home Daytime Telephone Number Street Address City State Zip Code Date of Request STUDENT S SIGNATURE MAIL TRANSCRIPT TO NAME AND ADDRESS Mail requests to the address listed above or fax requests to 803 751-9137 ATTN Registrar s Office. Although we accept faxed requests for transcripts we are unable to fax transcripts. Your official transcript will be mailed within three working days after being received* Please allow at least one or two weeks during peak periods.

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