Transcript Evaluation Request Form - Mesa Community College printable pdf download

Transcript Evaluation Request Form - Mesa Community College

Office of Admissions, Records and Registration

1833 W Southern Ave.

Mesa, AZ 85202-4868

Transcript Evaluation Request Form

A college transcript in your name from

has been received at Mesa

Community College (MCC).

Beginning July 1, 2013, students must submit this request form for all transcripts evaluations. Requesting

students must be currently enrolled at MCC and request the evaluation.

Transcripts will be held by MCC for one year from the date received and will be destroyed if a Transcript

Evaluation Form has not been received.

Please complete the following:

Student Name:

Student ID#

Last

First

Or Last 4 digits of Social Security Number

Previous Name(s)

Date of Birth

Last

First

Current Address:

City, State Zip:

Program of Study:

Mesa Community College will update any information included in your response.

College(s) transcripts to be evaluated:

State

Student Signature

Date Submitted

This form may be completed on line at or by

mail to: MCC - Admissions, Records & Registration, 1833 W. Southern Ave., Mesa, AZ 85202-4868. If you have

questions regarding this form, please contact us at (480) 461-7600.

For office use only:

Staff

Date Received MCC

Status

The Maricopa County Community College District is an EEO/AA institution and an

equal opportunity employer of protected veterans and individuals with disabilities.

Transcript Evaluation Request Form - Mesa Community College