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NAME MAILING ADDRESS CITY/STATE/ZIP FAX NUMBER Check only one box below per request form Send Transcript Now SIGNATURE DATE Request may be submitted to the Student Services Office in person via mail via fax or via email. Emailed requests must be signed printed signatures will not be accepted. Mailing address Fletcher Technical Community College 1407 Hwy. REQUEST FOR OFFICIAL ACADEMIC TRANSCRIPT Please complete this request form in ink. EVERY EFFORT IS MADE TO ISSUE TRANSCRIPTS WITHIN TWO TO THREE WORKING DAYS AFTER WRITTEN REQUESTS ARE RECEIVED. DURING PEAK ACTIVITY PERIODS REQUESTS MAY TAKE LONGER* NAME Present LAST FIRST MI MAIDEN THE FOLLOWING INFORMATION IS NEEDED TO LOCATE YOUR RECORDS Please Print NAME ON YOUR RECORDS SOCIAL SECURITY DATE OF BIRTH STREET/P. O. BOX ADDRESS CITY STATE TELEPHONE NUMBER ZIP CODE PROGRAM ENROLLED IN DATE OF LAST ATTENDANCE AT FLETCHER NAME ADDRESS OF INSTITUTE OR PERSON TO WHOM THE TRANSCRIPT IS TO BE MAILED or NAME AND FAX NUMBER IF TRANSCRIPT IS TO BE FAXED It is the student s responsibility to provide an accurate mailing address for the institute or person to whom the transcript is to be mailed* Transcripts that are mailed are certified with the college s seal and are sent to the institution/person designated below. 311 Schriever LA 70395 Fax 985-448-7998 Email lisa*hidalgo fletcher. edu FOR OFFICE USE ONLY DATE REQUEST RECEIVED RECORDS LOCATED YES / NO TRANSCRIPT ISSUED DATE TRANSCRIPT ISSUED/MAILED REASON TRANSCRIPT NOT ISSUED SIGNATURE OF PREPARER. REQUEST FOR OFFICIAL ACADEMIC TRANSCRIPT Please complete this request form in ink. EVERY EFFORT IS MADE TO ISSUE TRANSCRIPTS WITHIN TWO TO THREE WORKING DAYS AFTER WRITTEN REQUESTS ARE RECEIVED. DURING PEAK ACTIVITY PERIODS REQUESTS MAY TAKE LONGER* NAME Present LAST FIRST MI MAIDEN THE FOLLOWING INFORMATION IS NEEDED TO LOCATE YOUR RECORDS Please Print NAME ON YOUR RECORDS SOCIAL SECURITY DATE OF BIRTH STREET/P. DURING PEAK ACTIVITY PERIODS REQUESTS MAY TAKE LONGER* NAME Present LAST FIRST MI MAIDEN THE FOLLOWING INFORMATION IS NEEDED TO LOCATE YOUR RECORDS Please Print NAME ON YOUR RECORDS SOCIAL SECURITY DATE OF BIRTH STREET/P. O. BOX ADDRESS CITY STATE TELEPHONE NUMBER ZIP CODE PROGRAM ENROLLED IN DATE OF LAST ATTENDANCE AT FLETCHER NAME ADDRESS OF INSTITUTE OR PERSON TO WHOM THE TRANSCRIPT IS TO BE MAILED or NAME AND FAX NUMBER IF TRANSCRIPT IS TO BE FAXED It is the student s responsibility to provide an accurate mailing address for the institute or person to whom the transcript is to be mailed* Transcripts that are mailed are certified with the college s seal and are sent to the institution/person designated below. REQUEST FOR OFFICIAL ACADEMIC TRANSCRIPT Please complete this request form in ink. EVERY EFFORT IS MADE TO ISSUE TRANSCRIPTS WITHIN TWO TO THREE WORKING DAYS AFTER WRITTEN REQUESTS ARE RECEIVED. DURING PEAK ACTIVITY PERIODS REQUESTS MAY TAKE LONGER* NAME Present LAST FIRST MI MAIDEN THE FOLLOWING INFORMATION IS NEEDED TO LOCATE YOUR RECORDS Please Print NAME ON YOUR RECORDS SOCIAL SECURITY DATE OF BIRTH STREET/P. O. BOX ADDRESS CITY STATE TELEPHONE NUMBER ZIP CODE PROGRAM ENROLLED IN DATE OF LAST ATTENDANCE AT FLETCHER NAME ADDRESS OF INSTITUTE OR PERSON TO WHOM THE TRANSCRIPT IS TO BE MAILED or NAME AND FAX NUMBER IF TRANSCRIPT IS TO BE FAXED It is the student s responsibility to provide an accurate mailing address for the institute or person to whom the transcript is to be mailed* Transcripts that are mailed are certified with the college s seal and are sent to the institution/person designated below.