Unofficial Transcript Request

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Admissions, Registration and Records
Unofficial Transcript Request
PO Box 4070, Kalamazoo, MI 49003-4070
f: 269.488.4161
p: 269.488.4281
transcriptrequest@kvcc.edu
This is an unofficial, free version of your transcript that is printed on plain white paper without the college’s name.
It is intended for your personal use only. If you need an official transcript you must submit an Official Transcript
Request form and pay the $3.00 per transcript fee. Official transcripts are often required by other colleges for
transfer credit evaluation or by potential employers to verify degree completion.
Student Information:
V
Valley number (if known)
Print: Last name
First name
M. I.
Birthdate
Street address
E-mail address
City
State
Zip code
Telephone
Previous name
Authorization:
I authorize Kalamazoo Valley Community College to release my unofficial transcript.
Signature:
Date:
Delivery Method:
 I will pick up my transcript (bring photo identification with you)
 E-mail my transcript to: ________________________________________________
 I authorize the following person to pick up my transcript (they will be required to present Photo ID)
Name: ________________________________________________
 Fax my transcript to: (________) ___________________________
Attention: ______________________________________________
 Mail my transcript to my address listed above
 Mail my transcript to the following address:
To: ___________________________________________________
___________________________________________________
Address: ___________________________________________________
___________________________________________________
___________________________________________________
City
State
Zip code
Admissions, Registration and Records Office Use Only
 Hold on record, date notified:
Processed:
Comments:
Initials
Date
10/28/15
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