Academic Transcript Request Form - Hobart And William Smith Colleges
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1Office of the Registrar
300 Pulteney Street
Geneva, New York 14456-3396
ACADEMIC TRANSCRIPT REQUEST
Please check one:
Instructions:
• Complete separate request form for each individual.
Hobart
• Be sure to sign as the request cannot be processed without your signature.
William Smith
1. All Transcript Request Forms are processed within 24 - 48 hours of receipt.
• Please print.
2. Transcripts issued directly to students are stamped “This Official Transcript issued Directly To The Student.”
3. Transcripts that are used to obtain transfer credit from another college or university cannot be hand delivered. They must be
4. Transfers applying through the Common App must supply the Registrar with the Transfer Registrar Report.
5. There is a $5 charge for each transcript. Please send check or money order (made payable to Hobart and William Smith Colleges) to:
mailed directly to the other institution by the Office of the Registrar.
Student Services Coordinator, Office of the Registrar, Hobart and William Smith Colleges, 300 Pulteney Street, Geneva,
New York 14456-3397. Current students may have transcript fees billed to their student account. FAX # (315) 781-3920;
PHONE # (315) 781-3649
Name
_______________________________________________________________________________________
___________________________
Last
First
Middle
Student I.D. # or S.S. #
Date of Birth:
HWS Box #
_______________________________________
____________
Address
(Number and Street)_______________________________________________________________________________________________
City, State, Zip
__________________________________________________________________________________________________________
Contact Phone #
Contact E-mail Address
______________________________________
__________________________________________
Reason for Transcript Request:
Check appropriate box and sign for authorization:
Transcript used for HWS off campus and exchange
Years attended: From_______ To _______
programs or scholarships
Currently enrolled
Law School Applicant
Graduated: Degree_____________ Year _______
Health Professions Applicant
Hold for current term grades
Possible transfer
Hold for degree certification
Other __________________________________
I attended before September 1989
I attended under another name:
For Registrar’s use only
Previous Name____________________________
Enrolled in HEOP/AOP program
Total Fees Due __________Date Billed ____________
No Charge
Charged to Student Acct.
Amount Paid ___________Date Received __________
Check
Cash
Money Order
Balance Due_______________
The requester is responsible for correct and legible information
Please send _________ transcript(s) to the address below. (Please complete mailing address within space provided. Print clearly)
Authorization. I authorize the issuance of my transcript as indicated on this form.
Student Signature _________________________________________________________________________
Date___________
Rev. 9/2015
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