Transcript Request Form Lee College


PO BOX 818
BAYTOWN, TX 77522-0818
FAX #: 281-425-6831 OFFICE #: 281-425-6393
Mail or fax request
All obligations to Lee College must be cleared before transcripts may be released. Transcript
requests are processed and mailed free of charge within 1 to 2 days. Transcripts sent to student
will be designated “Issued to Student”.
I hereby give my consent to release my academic transcript as requested below:
Student’s Signature: _________________________________Date: __________
Please print and complete all information below with dark ink for proper and
prompt processing.
** Correct and legible address is the student’s responsibility ** Lee College will not fax transcripts **
Mail transcript to:
How many? ______
Name: _______________________________________________________________________
Address: _____________________________________________________________________
City/State/Zip: _________________________________________________________________
My First Name: _________________________MI: ______ Last Name: ____________________
Maiden/Other Name: ___________________________________Date of Birth: ______________
Student’s Lee College ID: ___________________ Social Security #: ______________________
Address: ______________________________________________________________________
City: __________________________State: ________________________Zip Code: __________
Phone number where you can be reached: ___________________________________________
Are you a current student? (circle) Yes No
Approximate last year attended: _______________
For Office Use Only
Special Instructions:
Check Appropriate Box:
Please mail transcript to the institution/individual as requested.
Hold transcript for final grades. Specify term: ____________
Date Sent:
Hold transcript until after grade change. Specify: _________
Hold transcript for posting of degree.
Sent by:____________
During peak registration times, transcript requests may have a longer processing time.
Lee College mails official transcript by US Postal Service, please allow for mail delivery time to
reach institution.
Revised 10/09


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