Transcript Request Form - South Central College
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1South Central College
Transcript Office - SAC
1920 Lee Blvd.
North Mankato, MN 56003
(507) 389-7334
FAX (507) 389-7419
registrar@southcentral.edu
Transcript Request Form
•
Transcripts are $5.00 per official copy
•
Check or money order can be made payable to South Central College.
•
Missing information will delay processing.
•
Your signature is required to release/mail your student record.
•
Your completed form can be mailed, faxed, or scanned & e-mailed to address above.
PLEASE PRINT CLEARLY
Name:_______________________________________________ SCC ID:____________________
Last
First
MI
SSN# (optional):____________________
Name while enrolled (if different from above): ___________________________________________
Street Address: ____________________________________________________________________
City: _______________________ State: _______Zip Code: ___________ Phone #: _____________
Are you currently attending SCC? __________ If no, when did you last attend? ____________
Where did you last attend?
Faribault
North Mankato
MCF Faribault
Check if transcript is to be sent to address above.
Check here to pick-up transcript at the Student Affairs Center.
Please send my transcript to this address:
Number of copies:______
Name: __________________________________________________________________________
Attention: _______________________________________________________________________
Street: __________________________________________________________________________
City:___________________________________ State:__________ Zip Code:_________________
nd
nd
2
Address for 2
Request (if necessary):
Number of copies:______
Name: __________________________________________________________________________
Attention: _______________________________________________________________________
Street: __________________________________________________________________________
City:___________________________________ State:__________ Zip Code:_________________
Check here if you would like this processed after the semester grades. Year/term
FALL
SPRING
SUMMER
Check here if you would like this processed after your degree is posted.
I give South Central College permission to release my transcript(s) to the name and address indicated above.
Official Transcripts are sent by U.S. Mail with a processing time of 1 week. All holds must be cleared before an official
transcript is sent. You will be notified by mail if your transcript cannot be sent based on a hold.
Signature:_______________________________________________ Date:_________________
Method of Payment: ($5.00 per transcript- must accompany transcript request)
Check one:
Check Enclosed
Visa
Mastercard
Cash enclosed
Card Number__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Expiration date__ __/__ __
Cardholder’s Name________________________________________
Cardholder’s Zip Code __ __ __ __ __
South Central College ID: __ __ __ __ __ __ __ __
Amount: $______________
(Office use only)
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