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REQUEST AND AUTHORIZATION FOR RELEASE OF TRANSCRIPTS Soc.Security Date of Birth OR ASSIGNED STUDENT ID Print Name LAST FIRST Name while attending HCC MI Daytime phone Address STREET CITY STATE ZIP CODE Email address 5. 00 PER COPY CHECK OR MONEY ORDER ONLY TRANSCRIPT FEE Amount Enclosed Number of copies Complete address where transcript is to be sent PLEASE PRINT LEGIBLY Mail request to Houston Community College Office of Student Records P. REQUEST AND AUTHORIZATION FOR RELEASE OF TRANSCRIPTS Soc*Security Date of Birth OR ASSIGNED STUDENT ID Print Name LAST FIRST Name while attending HCC MI Daytime phone Address STREET CITY STATE ZIP CODE Email address 5. 00 PER COPY CHECK OR MONEY ORDER ONLY TRANSCRIPT FEE Amount Enclosed Number of copies Complete address where transcript is to be sent PLEASE PRINT LEGIBLY Mail request to Houston Community College Office of Student Records P. O. Box 667517 Houston TX. 77266-7517 Special Instructions Name Street State City Zip DO YOU CURRENTLY OWE ON A STUDENT LOAN Yes No NOTE If checked Yes Transcript cannot be released without updated exit interview Click collegexit. com for web site Type of Transcript Academic semester hour Workforce clock hour Continuing Education CEU Dates of Attendance First semester attended Fall Spring Summer Year Last semester attended Fall Spring Summer Year Currently enrolled Hold for grades Fall Hold until degree is posted Fall STUDENT SIGNATURE Spring Summer I Summer II DATE. 00 PER COPY CHECK OR MONEY ORDER ONLY TRANSCRIPT FEE Amount Enclosed Number of copies Complete address where transcript is to be sent PLEASE PRINT LEGIBLY Mail request to Houston Community College Office of Student Records P. O. Box 667517 Houston TX. 77266-7517 Special Instructions Name Street State City Zip DO YOU CURRENTLY OWE ON A STUDENT LOAN Yes No NOTE If checked Yes Transcript cannot be released without updated exit interview Click collegexit. O. Box 667517 Houston TX. 77266-7517 Special Instructions Name Street State City Zip DO YOU CURRENTLY OWE ON A STUDENT LOAN Yes No NOTE If checked Yes Transcript cannot be released without updated exit interview Click collegexit. com for web site Type of Transcript Academic semester hour Workforce clock hour Continuing Education CEU Dates of Attendance First semester attended Fall Spring Summer Year Last semester attended Fall Spring Summer Year Currently enrolled Hold for grades Fall Hold until degree is posted Fall STUDENT SIGNATURE Spring Summer I Summer II DATE. 00 PER COPY CHECK OR MONEY ORDER ONLY TRANSCRIPT FEE Amount Enclosed Number of copies Complete address where transcript is to be sent PLEASE PRINT LEGIBLY Mail request to Houston Community College Office of Student Records P. O. Box 667517 Houston TX. 77266-7517 Special Instructions Name Street State City Zip DO YOU CURRENTLY OWE ON A STUDENT LOAN Yes No NOTE If checked Yes Transcript cannot be released without updated exit interview Click collegexit. com for web site Type of Transcript Academic semester hour Workforce clock hour Continuing Education CEU Dates of Attendance First semester attended Fall Spring Summer Year Last semester attended Fall Spring Summer Year Currently enrolled Hold for grades Fall Hold until degree is posted Fall STUDENT SIGNATURE Spring Summer I Summer II DATE. .

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