Transcript Request Application Form - Bates Technical College
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1OFFICIAL TRANSCRIPT: $5
EXPEDITED TRANSCRIPT: $15
TRANSCRIPT REQUEST APPLICATION
STUDENT ID NUMBER:
TODAY’S DATE:
-
-
STUDENT INFORMATION
LAST NAME
FIRST NAME
MIDDLE INITIAL
NAME WHILE ATTENDING
DATE OF BIRTH
ADDRESS
CITY
WA
ZIP
(
)
PHONE NUMBER
PROGRAM
EMAIL ADDRESS
ATTENDANCE DATES
ORDERING INFORMATION
NUMBER OF OFFICIAL TRANSCRIPTS:
REGULAR PROCESSING - $5 TRANSCRIPT:
*Processed within 2 weeks
I WILL PICK UP MY TRANSCRIPT:
EXPEDITED - $15 TRANSCRIPT:
*Processed and sent the following business day
TRANSCRIPTS MAY BE ORDERED:
MAIL MY TRANSCRIPT:
•
IN PERSON:AT THE REGISTATION OFFICE
SEND TRANSCRIPT TO:
•
MAIL: 1101 SOUTH YAKIMA AVENUE
TACOMA, WA 98405-4895
•
FAX: 253.680.7043
Payments can be made to the cashier @ 253.680.7018.
NOTE: Your request will be processed within two weeks of
confirmed payment. Unclaimed transcripts will be destroyed (after
two weeks). Students will be responsible for the reissue of a
transcript. Outstanding debts to the college must be paid before
transcripts will be released. Student or designated person must
STUDENT SIGNATURE
(REQUIRED)
show picture ID when picking up a transcript. Unofficial transcripts
may be printed for free at the Bates Technical College website at
*THE FOLLOWING PROGRAMS SHOULD NOTE SPECIAL INSTRUCTIONS:
•
•
OCCUPATIONAL THERAPY ASSISTANT
DENTAL PROGRAMS
•
PRACTICAL NURSING (LPN)
•
NURSING ASSISTANT CERTIFIED (NAC)
•
PHLEBOTOMY
Students in the above programs must pick up their transcript from the college or it can be mailed directly to the students
mailing address. If you have any questions regarding transcripts, please call 253.680.7019.
STAFF USE ONLY
REGULAR PROCESSING:
EXPIDITED:
ADDITIONAL NOTES:
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