Fillable Transcript Request Form - Kapiolani Community College printable pdf download

Kekaulike Information & Service Center (KISC)

4303 Diamond Head Road, ‘Ilima 102, Honolulu, HI 96816

Phone: (808) 734-9555 Fax: (808) 734-9896

Email: kapinfo@hawaii.edu

TRANSCRIPT REQUEST FORM

An official copy of course work completed at Kapi‘olani Community College may be obtained by completing and submitting the Transcript Request

Form to KISC. Transcripts released directly to the student will be stamped “ISSUED TO STUDENT.” Financial obligations at any UH campus must be

cleared before requests can be processed. Official transcripts from other institutions are not available for distribution by Kapi‘olani CC. For

admissions purposes, it may not be necessary to send transcripts within the UH System (check with UH campus). KISC does not produce unofficial

transcripts. Students may view and print their unofficial academic records in MyUH through the STAR Degree Check at myuh.hawaii.edu.

Incomplete, illegible, and/or unsigned forms will not be processed. Please print clearly.

Name: ______________________________________________________________________________________________________

Last Name, First Name, MI

Other Name(s) Used

Address: ____________________________________________________________________________________________________

City: ________________________________________________________ State: ____________ Zip Code: ______________________

Phone: _______________________________________________________ Date of Birth: _________/__________/______________

UH ID or Username ______________________________ Email: ________________________________________________________

Last Attended Kapi‘olani CC (semester/year):

Fall __________

Spring __________

Summer __________

STUDENT’S SIGNATURE (Required) __________________________________________________________ DATE _______________

Ordering and Fee Information: Payment by check (payable to University of Hawai‘i), cash, money order, or credit card is required in

advance. If paying by credit card, please download and complete the Credit Card Authorization Form. Indicate quantity below.

Transcripts are sent via the U.S. Postal Office only. Processing time is AFTER payment has cleared and does not include mail/

delivery time. If you are sending transcripts to multiple addresses, you MUST fill out separate forms.

______ (QTY) Standard Process: $5.00 per copy (processed within 7 business days)

______ (QTY) RUSH Process: $15.00 per copy (processed within 24 business hours)

Select ONE Processing Method:



Please include the enclosed form(s) as an attachment with my transcript request.



Process now



Process after the ____________________________ semester grades are posted (allow 2 weeks after the semester ends)



Process after my degree/certificate is awarded for the ___________________semester (allow 6-8 weeks after the semester ends)

Select ONE Delivery Method:



Student Pick Up (Note: Must provide valid photo I.D.)



Third Party Pick Up. I authorize __________________________________________________________ to pick up transcript and

deliver it to me. Kapi‘olani Community College will not be responsible for loss or damage to the transcript once it is released to the

third party. (Note: Authorized third party must provide valid photo I.D.)



Fax to: ___________________________________________________________________________________________________



Mail to:

Name/Attn: ________________________________________________________________________________________

Address: __________________________________________________________________________________________

__________________________________________________________________________________________

FOR OFFICE USE ONLY

Fee Posted Date/By ______________________ Fee Paid: Yes No

REV. 08/15

Processed Date/By _______________________

Transcript Request Form - Kapiolani Community College

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