Advanced Studies Transcript Request Form

Page 1

Advanced Studies Request for Transcript NAME ADDRESS PHONE

SOCIAL SECURITY #/ECC ID #

TYPE OF TRANSCRIPT

Official Copy

Student Copy

SEND AFTER FORWARD TRANSCRIPT TO: (Use complete address, including zip code, & name of person/department) 1. 2.

• • • •

IMPORTANT INFORMATION Official copies are $5 each. Checks can be made out to SUNY Erie Community College. No transcripts are issued to students who have outstanding obligations to the college. Mail Transcript Request Form to any campus address below:

Registrar’s Office SUNY Erie North Campus 6205 Main Street Williamsville, NY 14221

Registrar’s Office SUNY Erie City Campus 121 Ellicott Street Buffalo, NY 14203

STUDENT SIGNATURE

Registrar’s Office SUNY Erie South Campus 4041 Southwestern Blvd. Orchard Park, NY 14127 DATE

FOR OFFICE USE ONLY TRANSCRIPT FEE RECEIVED BY DATE TRANSCRIPT SENT

STUDENT ID PERC G.E.T.A. OTHER


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