Unofficial Transcript Request Form - Pitzer College printable pdf download

Unofficial Transcript Request Form - Pitzer College

Pitzer College Unofficial Transcript

Request Form

Fax: (909) 607-7161

Pitzer College Registrar’s Office

1050 North Mills Avenue

Claremont, CA 91711

Phone: (909) 607-2650

*Please print clearly using black ink.

UNOFFICIAL Transcript

Date of Request:

Number of Copies: __________

Student’s Name:

(as it appears/d on your transcript & student record while enrolled at Pitzer)

SS# or Pitzer ID#:

OR Birth Date:

Contact Telephone Number: (_____)

Please check all that apply:

A: Currently Attending:

Yes – Circle one: FR SO JR SR

No – List dates of attendance

************

UNOFFICIAL TRANSCRIPTS MAY BE FAXED TO A PERSONAL FAX WITHIN 24

HOURS OF REQUEST – no charge. Personal Fax Number:

************

PROVIDE MAILING ADDRESS IF YOU WISH TO RECEIVE VIA MAIL:

Address to send unofficial transcript(s):

Name:

Street Address:

City, State, Zip Code:

Student’s Signature

– Do not print

Allow 3 -5 business days for processing.

s:forms\transcript request form-walk in

9/2016

Unofficial Transcript Request Form - Pitzer College