Long Beach City Community College District Transcript Request (Page 3 of 3) in pdf

Long Beach City Community College District Transcript Request Page 3

TRANSCRIPT REQUEST

Stu. ID No.______________________Today’s Date ___________________

CHECK APPROPRIATE BOX: (Mark only one box per form)

Send my Transcript:

□

Name (Last)_____________________(First)__________________________

Now. It will not include grades for the current term.

□

Other Name at LBCC _____________Birthdate________________________

Hold for Final grades of current term.

Current Address_________________________________________________

I hereby grant permission for LBCC to release all permanent

Street__________________________Phone #_________________________

transcript records as per the Family Rights and Privacy Act.

City/State______________________Zip Code_________________________

Signature:________________________________________

NO. OF COPIES Official Copies _____ Student Copies ____Last 4 Digits SSN _____

First Attended LBCC_______________Last attended LBCC______________

1. Transcripts only include coursework taken at LBCC.

2. Allow at least 10 working days for processing and at least

Send To

30 working days (excluding holidays and weekends) at the

3. No transcript will be furnished if there is an outstanding debt.

NAME OF INSTITUTION OR PERSON

4. Fill out a separate request for each transcript address.

____________________________________________________________

NUMBER

STREET

Send to:

Long Beach City College

Pacific Coast Campus – Transcripts Dept.

__________________________________________________________________________________________

1305 E Pacific Coast Hwy

CITY

STATE

ZIP CODE

Long Beach, CA 90806

Long Beach City College will not release transcript from other institutions

A5(Revised 3/93)

Long Beach City Community College District Transcript Request Page 3