Transcript Request Form - College Of The Mainland

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Transcript
Request
Form

To request an official transcript of all course work taken at College of the Mainland, fill out this
form and mail to College of the Mainland, Admissions and Records Office, 1200 Amburn
Road, Texas City, TX 77591 or fax to 409-933-8012 or e-mail admissions@com.edu.
SSN or COM ID:_______________________________________________________________
First Name:_______________________ M.I. ____ Last Name:__________________________
Previous or Maiden Name:_______________________________________________________
E-mail Address: _______________________________________________________________
Address: ____________________________________________________________________
_____________________________________________________________________
City: ___________________________ State:_____ Zip Code:_____________
Phone Number: ___________________________________________________
Send _________ transcripts to the following address:
Each request with a different address requires a separate form.
Mail to the Home Address above
Name of Institution: ____________________________________________________________
Attention to: __________________________________________________________________
Address: ____________________________________________________________________
____________________________________________________________________
City: ___________________________ State:_____ Zip Code:_____________
Please choose one of the following:
I will pick up my transcript
Send now
Send after ________________ semester grades are posted
Hold for posting of degree
Send after CLEP scores are posted
Hold until after grade change. Course/No.__________________________
Continuing Education Transcript
Comments:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Signature: _________________________________________ Date: ____________________

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