Transcript Request Form printable pdf download

Transcript Request Form

Transcript Request

709 Mechem Drive, Ruidoso, NM 88345 * PH: (575) 257-2120 *Fax (575) 257-9409

Important! All financial aid and Accounts Receivable holds must be cleared before a transcript will be released.

Do not email this form; emailed forms will not be processed.

Numbers of Copies

Type of Request

Official transcripts to Institutions, agencies or employers

Official transcripts to students in a sealed envelope

Student copies of transcripts issued directly to the student

[ ] Please hold for currently enrolled grades

[ ] Please send immediately

[ ] Please hold for degree

Please type name and address of person/organization to receive transcript (use only one address per request form):

_________________________________________________________________

Name

________________________________________________________________________________

Street Address

________________________________________________________________________________

City, State, Zip

Student Information

Name: ________________________________________________________________________

Last

First

Middle

Previous last names you may have enrolled under: _______________________________________________

Student ID:

__________________________ SSN: _______________________________________

Date of Birth:

__________________________ Phone Number: _____________________________

Present Address:

_______________________________________________________________________

Street

City

State

Zip

Signature:

___________________________________________________ Date: _______________

* Transcript request will not be processed with incomplete information. Please make sure all required fields are

completed.

Transcript Request Form