Transcript Request Form

This document is a transcript request form for Providence Baptist College, requiring the applicant to specify the type of transcript needed and provide personal information. It includes sections for signatures from the student and a parent or guardian if the student is under 18. Additionally, it outlines specific requirements for high school seniors and graduates regarding the transcripts sent.

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Transcript Request Form

Uploaded by

alej.ch2004

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Download as PDF, TXT or read online on Scribd

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TRANSCRIPT REQUEST FORM

Please type or print in ink. Please fill out completely.

To the Registrar or Principal:

I have applied to Providence Baptist College for the:
 Fall 20____  Spring 20_____  Summer 20______

Please send a copy of my:

 College Transcript  High School Transcript

To: Admissions Office

Providence Baptist College
345 West River Road
Elgin, IL 60123
Fax: 847-931-7259

Attach the personal data given below to the transcript being sent to Providence Baptist College. (Parent
or Guardian’s signature is required if the student is under 18 years of age.)

Student Signature:_____________ Date:_

Parent Signature:______________ Date:_

Personal Data

Name:____________________________________________________________________________________
Last First Middle Maiden

Mailing Address:____________________________________________________________________________
Street City State Zip

Social Security Number: ___-- Birth Date:_/_/___

Last Term Attended (include year) _________________________________

Schools, Please Note:

If this student is currently a senior, please send a transcript that includes the first seven semesters of his high
school work. Upon graduation, please send a supplement showing final grades and graduation date.

A transcript for a graduate must include the student’s date of graduation in order for the transcript to be
considered final.

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Transcript Request Form

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Transcript Request Form

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TRANSCRIPT REQUEST FORM

Please type or print in ink. Please fill out completely.

To the Registrar or Principal:

Please send a copy of my:

 College Transcript  High School Transcript

To: Admissions Office

Student Signature:_________________________________________ Date:_____________________________

Parent Signature:__________________________________________ Date:_____________________________

Social Security Number: _________-________-________ Birth Date:_____/_____/_____

Last Term Attended (include year) _________________________________

Schools, Please Note:

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Student Signature:_____________ Date:_

Parent Signature:______________ Date:_

Social Security Number: ___-- Birth Date:_/_/___