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Get BC3 Official Transcript Request Form 2017-2024

Transcript requests may NOT be requested by phone. Currently enrolled and former students who have attended BC3 within the last two years prior to the transcript being requested may do so utilizing their MvBC3 Student Portal Account. Requests by mail should be sent to Butler County Community College P. O. Box 1203 Butler PA 16003-1203 Requests by fax Fax 724-287-0092 Requests by scanning and email Email registration bc3. edu Transcript delivery methods include regular mail pick-up in person photo ID is required and electronic delivery. Students must type directly or print legibly on this form. 2. Request must include student signature to release the official transcript. 3. Form may be mailed faxed to BC3 or scanned emailed information listed above STUDENT INFORMATION PLEASE PRINT Blue/Black Ink Only Student Signature Date Current Name Last First M. I. Former Last Name or Maiden Name Current Mailing Address City State Date of Birth BC3 ID or Last Four of SSN Personal Email ZIP Telephone WHO ARE YOU SENDING THE TRANSCRIPT TO Name of Recipient/Institution Attention To Office Department/Person Mailing Address Recipient Email if institution is not listed see directions on back Select One Delivery Method Electronic Delivery Regular Mail Pick Up in Person When to Process Send Now Hold End of Semester Hold Degree Posted REMINDERS Allow three 3 business days to receive process and mail the transcript to the address provided above. Office of Records and Registration 107 College Drive Butler PA 16002 724-287-8711 ext. 8253 Fax 724-287-0092 OFFICIAL TRANSCRIPT REQUEST FORM Official Transcript Request Form Instructions 1. Students must type directly or print legibly on this form* 2. Request must include student signature to release the official transcript. 3. Form may be mailed faxed to BC3 or scanned emailed information listed above STUDENT INFORMATION PLEASE PRINT Blue/Black Ink Only Student Signature Date Current Name Last First M. Photo ID is required if picking up the transcript. Signed written permission must be provided if someone else is picking up the transcript. The entire student academic record is included on the transcript. OFFICE USE ONLY Date Form Received Date Transcript Processed REG 9/19/17 Academic Transcripts privacy rights we must receive a signed request before releasing transcripts. Transcripts can also be requested in person at the Office of Records and Registration or any BC3 campus location* Transcripts may also be ordered by mail or fax. Requests by mail should be sent to Butler County Community College P. O. Box 1203 Butler PA 16003-1203 Requests by fax Fax 724-287-0092 Requests by scanning and email Email registration bc3. edu Transcript delivery methods include regular mail pick-up in person photo ID is required and electronic delivery. Electronic transcript delivery is available via e-SCRIP-SAFE* Transcripts to institutions that are participating in the e-SCRIP-SAFE network will be delivered electronically. To see a list of institutions that we can send If the institution is not on this list or if you would like your transcript sent to an individual please provide the name and email address of the recipient and we will deliver it electronically through e-SCRIP-SAFE s out of network service. .

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