Transcript Request Form Page 2
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2TRANSCRIPT REQUEST FORM
Course Work Completed
Office use only
Converse Undergraduate work/Degree
Date Rec’d:
Converse Graduate work/Degree
(This form may NOT be used for a
Date Iss’d:
Office of the Registrar
Teacher Step/Math Refresher Transcript–
580 East Main Street
- Spartanburg, SC 29302
see above.)
864-596-9095/Fax 864-596-9202
The average processing time for a transcript is 7-10 business days.
Fee is $10.00 per
transcript, whether mailed or faxed. (NON-REFUNDABLE)
.
Transcripts will not be issued for persons whose financial obligations have not been satisfied
Completed transcript request form with credit card information may also be SCANNED and e-mailed as a PDF attachment to
registrar@converse.edu
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_______________________________________________
Social Security Number
Date of Birth
____________________________ ______________________________ ____________________________
LAST NAME
FIRST NAME
MIDDLE/MAIDEN NAME
Please list ALL previous surnames:
Current mailing address:
Home Telephone number (+area code):
Cell Phone number (+area code):
Entrance Date:
Date of last enrollment:
E-mail Address
: (we will contact you at this address with any questions)
Transcript to be processed (check one):
At end of ____________ term
Hold for posting of degree at end of ____________term
As Soon As Possible
(
MAIL /FAX TRANSCRIPT(S) TO:
faxed transcripts are not considered official)
Transcript #1: MUST have full address
Transcript #2: MUST have full address
______________________________________________
________________________________________________
______________________________________________
________________________________________________
______________________________________________
________________________________________________
______________________________________________
________________________________________________
Reason:
Graduate School
Re-Certification
Transferring Schools
Scholarship
Summer School
Other
Signature
Date
PAYMENT ENCLOSED:
Check #
Cash
Visa
Discover
MasterCard
Money Order
American Express
(Checks made PAYABLE TO: Converse College)
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Credit Card #:
Expiration Date:
Security Code (located on back of card)
Rev 10/31/13
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