Transcript Request Form - Centre College
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1Transcript Request Form
Transcripts are available at no charge upon written requests only. Fill out one request form for each recipient, then
return the signed form to the Registrar’s Office using one of the following options:
Mail to: Centre College, Registrar’s Office, 600 W. Walnut Street, Danville, KY, 40422
Fax to: (859) 238-6226
Scan and email to:
transcripts@centre.edu
For students enrolled 1992 and later, electronic transcripts can be sent to participating colleges (see list at
).
First Name:____________________ M. I. ____Last Name:_____________________________________
Last Name while at Centre (if different):____________________________________________________
Last Four Digits of SSN or Centre Student ID Number:_________________________________________
Address:________________________________________________ Date of Birth:__________________
City:________________________________ State:____ Zip:__________ Phone:____________________
Email: ____________________
Signature (Required):_________________________________________ Date:_____________________
Requester Status:
Currently Enrolled -or-
Date Last Attended ________________(mm/yyyy)
Please send ______transcripts to the following recipient:
Complete Mailing Address or Electronic Registry Recipient:
Send Transcript:
(for Electronic recipients: list school, office and number from list)
Now
*If mailing, copy and paste the address in the box at bottom of page
After grades are available
I will pick up
After degree notation
Note: Delays may occur due to incomplete or illegible
address.
Delivery Options:
U.S. Mail
Electronic delivery (if available)
FedEx Overnight (provide acct. number)
NOTICE
The enclosed transcript is being forwarded on the condition that it cannot be released in whole or part to any other
party without the written consent of the individual to whom it pertains, in accordance with the Family Education Rights
and privacy Act of 1972. No transcript is issued to or for a student who is indebted to the institution.
Recipient’s Address (*
):
please copy from box above
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