Application Form For Excelsior College Transcript

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Instructions to Order an Official Transcript
1. Complete the National College Credit Recommendation Service (NCCRS) Application.
2. Mail the following to NOCTI:
a. Completed & Signed NCCRS Application
b. Check or Money Order for $60 payable to NOCTI
c. NOCTI College Credit Recommendation Report or NOCTI Score Report
(if you don't have either of these,
contact the location at which you took the NOCTI assessment and ask for your College Credit Recommendation
Report)
The cost of the official transcript is $60.00. Checks should be made payable to NOCTI. Please allow 4-6 weeks for
processing. The completed application forms and payment should be mailed to:
NOCTI
ATTN: CCR Processing
500 North Bronson Avenue
Big Rapids, MI 49307
Detailed Instructions for Completing the NCCRS Application
Page 1 (front):
1) Sponsoring Organization: This information has been pre-filled for you.
2) Student:
Social Security Number: Enter your 9-digit social security number in the boxes.
Current Legal Name - Enter your last name, first name, and middle initial.
Permanent Address - Complete your street number and street name on the first line; City, State, and Zip
Code on the second line.
Phone Numbers - Provide the best numbers to contact during the day and evening on the first line. Enter
your email address on the second line.
Date of Birth - Please enter a two-digit month (e.g., February = 02), a two-digit day (e.g., 1 = 01) and a four-
digit year in the boxes.
Gender - Please indicate “M” for Male and “F” for Female.
Are you already enrolled or have you ever been enrolled in Excelsior College or the Excelsior College
OneTranscript Service (Credit Bank)? Put an X in the appropriate Yes/No box.
Page 2 (back):
Payment (fee paid by student/applicant)
Credit Card Authorization: Please disregard this top section as payment will be made directly to NOCTI in
the amount of $60.00. Move on to the grey box.
Signature and Date Box (required): Sign the form and include the date on the appropriate lines.
Transcript Request: The $60 fee entitles you to receive one student copy of your transcript and one official
transcript; therefore both boxes (student and official) are checked.
Are you requesting Transcript Rush service? Check the box labeled "Yes" if you are planning to pay an
additional $30 for the rush service. Check the box labeled "No" if there is no need for a rush service.
Authorization for release of transcript -
o Signature and date (required): Sign on the signature line (do not print) and write the current date on
the date line.
o Send transcript to: This is the address to which the transcript will be mailed and can be the student’s
address or the college/university of choice. Make sure the address is complete, correct, and legible.

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