MONTCALM COMMUNITY COLLEGE
TRANSCRIPT REQUEST FORM
PRINT THIS FORM, THEN
MAIL OR TAKE IT TO THE SCHOOL(S)
YOU ATTENDED SO THAT THE SCHOOL(S) WILL RELEASE A COPY OF YOUR TRANSCRIPT TO
MONTCALM COMMUNITY COLLEGE.
TO:________________________________________________________________________________________
Name of School
___________________________________________________________________________________________
Address
City
State
Zip
TYPE OF TRANSCRIPT REQUESTED:
HIGH SCHOOL ( ) ADULT HIGH SCHOOL ( ) GED ( ) COLLEGE ( )
GRADUATION DATE: ____________________
PLEASE FORWARD AN OFFICIAL COPY OF MY TRANSCRIPT TO:
MONTCALM COMMUNITY COLLEGE
ENROLLMENT SERVICES
2800 COLLEGE DRIVE
SIDNEY, MI 48885-9723
An official copy of a transcript contains a graduation date and an authorized signature or school seal.
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STUDENT NAME:
____________________________________________________________________________________________
Last First
MI
Maiden
____________________________________________________________________________________________
Address City
State
Zip
______________________________________
________________________________________
Last 4 numbers ONLY of your Social Security Number Date
of Birth
_________________________________________
Student Signature