Transcript Request Form - Scottsdale Community College

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Scottsdale Community College
Attn: Transcripts
9000 E Chaparral Rd
Scottsdale, AZ 85256
(480) 423-6100
Fax (480) 423-6189
Complete all sections below
OFFICIAL - Embossed with College Seal on official paper – $5.00 Fee applies per copy
Number of Copies___________ X $5.00 per copy = $ ______________ (total fee)
UNOFFICIAL - No College Seal on white paper - Free
Number of Copies___________
Student Information
Student Name:
Student ID:
Social Security #: _ _ _- _ _ - _ _ _ _
Date of Birth:
/
/
Address:
City:
State:
Zip:
Contact Phone Number
Transcript Destination
Send to above student address
Send to school or organization at address below
School or Organization:
Attn:
Address:
City:
State:
Zip:
Contact Phone Number
__________________________________________________
______________________________
Student Signature
(REQUIRED)
Date
Payment Information for Official Requests
Circle One
VISA
MasterCard
Discover
American Express
Credit Card #:
Exp. Date
_______/________
Cardholder Name as it appears on card: __________________________________
Cardholder Signature: _______________________________________
I understand federal law requires transcripts requests must be made in writing and authorized by the student. Transcripts
will not be issued for students with any outstanding debts to any of the Maricopa Colleges.
Maricopa Community Colleges are EEO/AA Institutions

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