Transcript Request Form - Kapiolani Community College

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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 _______________________

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