Transcript Request Form - Pennsylvania College Of Health Sciences

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Pennsylvania College of Health Sciences
Attn: Transcripts
850 Greenfield Rd
Lancaster, Pennsylvania 17601
TRANSCRIPT REQUEST FORM
The Family Educational Rights and Privacy Act of 1974 (FERPA) requires that all transcript requests be in
writing, signed and dated by the person to whom the record belongs. Telephone, faxed, scanned and
email requests WILL NOT be accepted. You can assist us in giving speedy accurate service by providing
complete information.
To obtain a transcript, send a written request that includes the following:
 FULL NAME as it appears on your record. Please include your maiden name, if married, or any
other name used while enrolled at the College
 STUDENT ID NUMBER (Student ID # or Social Security #)
 PROGRAM attended
 DATES OF ATTENDANCE; Years attended, year graduated or a Current Student
 NAME and ADDRESS OF INSTITUTION to which the transcript is to be mailed. Please include
the office to receive the transcript.
 YOUR SIGNATURE AND DATE
After completing request in its entirety, send it to the above address. Please complete one form per
Transcript request.
There is a $5.00 processing fee for all official transcripts (current students may receive 1 free official
transcript per semester). There is no fee for unofficial transcripts. Official transcript fee payment will
be accepted in the form of check or money order. Checks should be made payable to PA College.
We are unable to fax or email transcripts, official or unofficial.
Please Note:
College policy prohibits issuing transcripts to any student who is indebted to the
College. The issuance of partial transcripts is strictly prohibited.
CASH IS NOT ACCEPTED!

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