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Get CCC Transcript Request Form 2011-2024

TRANSCRIPT REQUEST FORM - Complete all required information on the request form - There is a 5. 00 fee per transcript - Mail completed form with applicable payment to the campus Registrar s Office - Acceptable forms of payment include Money Order or Cashier s Check. Please make payment payable to the campus where the request will be sent. Cash payments are only accepted when making an in person transcript request Military transcripts available only through Harold Washington College Check here if requesting Please provide the first and last CCC college attended along with the year Year Student ID Number Social Security Number Last Name Last College Attended First College Attended First Name D. TRANSCRIPT REQUEST FORM - Complete all required information on the request form - There is a 5. 00 fee per transcript - Mail completed form with applicable payment to the campus Registrar s Office - Acceptable forms of payment include Money Order or Cashier s Check. Please make payment payable to the campus where the request will be sent. Cash payments are only accepted when making an in person transcript request Military transcripts available only through Harold Washington College Check here if requesting Please provide the first and last CCC college attended along with the year Year Student ID Number Social Security Number Last Name Last College Attended First College Attended First Name D. O. B. Former Name s if applicable M. I. Month Day Apt/FL*/Suite/ Current Street Address City Phone Number State Type Zip Code E-mail Address RECIPIENT INFORMATION School Name Organization or Name of Recipient Street Address FL Suite Room City State Zip Code I certify that all of the information provided on this application is complete and correct to the best of my knowledge. I certify that I have read all of the information appearing on this application and the instructions and that I accept and understand the terms and conditions stated therein* A signature must be provided in order to process a request. Please make payment payable to the campus where the request will be sent. Cash payments are only accepted when making an in person transcript request Military transcripts available only through Harold Washington College Check here if requesting Please provide the first and last CCC college attended along with the year Year Student ID Number Social Security Number Last Name Last College Attended First College Attended First Name D. O. B. Former Name s if applicable M. I. Month Day Apt/FL*/Suite/ Current Street Address City Phone Number State Type Zip Code E-mail Address RECIPIENT INFORMATION School Name Organization or Name of Recipient Street Address FL Suite Room City State Zip Code I certify that all of the information provided on this application is complete and correct to the best of my knowledge. O. B. Former Name s if applicable M. I. Month Day Apt/FL*/Suite/ Current Street Address City Phone Number State Type Zip Code E-mail Address RECIPIENT INFORMATION School Name Organization or Name of Recipient Street Address FL Suite Room City State Zip Code I certify that all of the information provided on this application is complete and correct to the best of my knowledge. I certify that I have read all of the information appearing on this application and the instructions and that I accept and understand the terms and conditions stated therein* A signature must be provided in order to process a request. .

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