Transcript Request Form - Ambassador College
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1Transcript Request Form
_____________________________________ (____________________) Soc Sec # _______-____-_______
Full Name
Maiden Last Name, if applicable
Phone (_____) ________________ Email ______________________________ Birth date _____/____/_____
Address ______________________________ City ____________________ State _______ Zip ___________
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Fees:
Regular $10.00 U.S. per copy (incl. first class mail)
Rush $25 per copy (priority post) U.S. addresses only
Fees may be paid by check/money order or by credit card. (International: credit card or U.S. funds money order only)
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Mail transcript to above address
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Mail transcript to:
Mail transcript to:
Credit Card Payment:
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Master Card
Visa
American Express
Discover
Amount Paid $______________
Acct. #: _________-_________-_________-_________ EXP: ______/_______ Security Code: _____________
Name as it appears on the card: ______________________________________
Transcript Policies
For security purposes, we do not fax out transcripts. We issue official transcripts only.
Processing time is the time it takes our office to prepare your transcript, normally within 5 business days. This does
not include mailing time.
We cannot guarantee your transcript’s arrival or the time it will take to reach its destination once it has left our office.
Transcripts issued to the student will be stamped with “Issued to Student in Sealed Envelope. Unofficial If Seal Is
Broken.”
Transfer credit will be included on transcripts, but transfer credit grades are not included.
Every transcript is checked for accuracy. It is the student’s responsibility to direct concerns and discrepancies to the
Registrar within 90 days of the transcript request.
I have read and agree to the transcript policies and procedures listed on this form, and I understand that for identification
purposes my transcript includes my social security number.
_____________________________________
____________________________
Signature
Date
Form can be submitted by Mail, Fax, or Email
Office Use Only
Registrar
Received: _______________________
Email:
Ambassador College
Amt. Paid: ______________________
registrar@ambassador.edu
P.O. Box 875
Date Sent:_______________________
Fax: (626) 650-2388
Glendora, CA 91740-0730
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