Emi Transcript Request Form Page 3
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3Fill out your mailing address.
Fill out Social Security number of student.
The Independent Study Program uses the Social Security
number as proof of US citizenship and also to uniquely
identify the specific student.
If you only need a student transcript, then
you are ready to send in your form - follow
the next step and stop. If you need an
official transcript, then skip the next step
and continue with the others.
There are 2 ways to submit your Transcript
Request Form to the Independent Study
Program.
1. By Mail: to address listed on the
right.
2. By Fax: to number listed on the right.
Fill out the designated personnel that will be
receiving your transcript.
Fill out Mailing Address of the receiving
Institution that will be receiving your
transcript.
Sign the bottom of the Transcript Request
Form.
The student’s signature is needed in order to send out
Official Transcripts to Institutions or students.
Fill out date of your request.
There are 2 ways to submit your Transcript
Request Form to the Independent Study
Program.
1. By Mail: to address listed on the
right.
2. By Fax: to number listed on the right.
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