TRANSCRIPT REQUEST

800 West Avon Road I am a:

Rochester Hills, MI 48307
Current RC student
Phone: 248.218.2091, Fax: 248.218.2045
Former RC/MCC student- date of last
enrollment _______________
Name
Former William Tyndale - date of last
enrollment _______________
Name used when attending RC/WTC, if different than above
Degree earned? Circle: Yes or No
Social Security Number Date of Birth Transcript Quantity:

Official copy – Quantity _____
Contact Phone Number
Unofficial copy – Quantity _____

Signature Date Delivery:

Mail to address

Fax unofficial
Transcripts are $5.00 per copy when mailed or picked up. Transcripts are $10.00
Fax unofficial and mail official
per copy when faxed and mailed. Official transcripts are mailed directly to the
I will pick up transcript
requested destination. Hand-carried transcripts may be stamped ISSUED TO
STUDENT and are considered unofficial. Payment may be cash, check, money
order, or credit card. Special Instructions:

Hold for final grades – term _________
Student’s Name and Current Mailing Address:
Hold for degree posting
Please print clearly for use in a window envelope.
Hold for grade change

Other: __________________________

Transcripts are generally sent within four business days of

receipt of the request. Financial obligations to Rochester
College must be cleared before transcripts may be released.

Credit Card Information (or include check):

Name on card:
Fax transcript to: Card number:

Expiration date:

3-digit security code:

Signature of cardholder:

Mail Transcript To: OFFICE USE ONLY

Please provide a complete address, and print clearly for use in a
window envelope. Business Office

Clear
Hold Date Cleared:

Date Request Received:

Date Transcript Mailed:

Amount Received _________ Date Received: __________

Check
Cash
Credit Card

Hours Completed at RC:

Updated 2/18/09